Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 501
Review of the early implementation of the Resource Use Measure (RUM) (summary)
- Author:
- CRAIGFORTH CONSULTANTS
- Publisher:
- The Stationery Office
- Publication year:
- 2004
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
This study was commissioned to consider the early implementation of the Resource Use Measure (RUM), to identify emerging issues and how the early implementation sites had responded. The RUM was originally intended as a tool for determining entitlement to free nursing care, promoting fare access and equitable distribution of resources for older people. It is now used to measure the relative need of older people over 65 years including those with mental health problems and dimentia and/or associated behaviour.
Review of the early implementation of the Resource Use Measure (RUM) (full text)
- Author:
- CRAIGFORTH CONSULTANTS
- Publisher:
- The Stationery Office
- Publication year:
- 2004
- Pagination:
- 52p.
- Place of publication:
- Edinburgh
This study was commissioned to consider the early implementation of the Resource Use Measure (RUM), to identify emerging issues and how the early implementation sites had responded. The RUM was originally intended as a tool for determining entitlement to free nursing care, promoting fare access and equitable distribution of resources for older people. It is now used to measure the relative need of older people over 65 years including those with mental health problems and dimentia and/or associated behaviour.
A biographically based health and social diagnostic technique : a research report
- Authors:
- JOHNSON Malcolm, et al
- Publisher:
- Open University. Department of Health and Social Welfare/Policy Studies Institut
- Publication year:
- 1988
- Pagination:
- 23p., bibliog.
- Place of publication:
- Milton Keynes
Predictors of readiness for mobility transition in older drivers
- Authors:
- KANDASAMY Deepika, et al
- Journal article citation:
- Journal of Gerontological Social Work, 61(2), 2018, pp.193-202.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
We administered the Assessment of Readiness for Mobility Transition (ARMT) to 301 older drivers and compared total scores with participant characteristics. Overall, 18% of participants were not attitudinally ready for mobility transition, while 19% were very ready. Notably, participants with hospitalisations in the past year were either very ready for mobility transition (20% vs 14% without hospitalisations) or not ready at all (30% vs 17%). Significant health events may polarize reactions towards mobility transition. Individualising communication about driving cessation readiness could help address such differing views. To further consider its effectiveness, ARMT could be utilised in mobility transition counselling interventions. (Edited publisher abstract)
A validity and measurement equivalence study of the ultra-short suicidal ideation scale with older adults
- Authors:
- NUGENT William Robert, CUMMINGS Sherry
- Journal article citation:
- Journal of the Society for Social Work and Research, 5(4), 2014, pp.439-459.
- Publisher:
- Society for Social Work and Research
Short-form scales are important tools for use in the assessment of suicide ideation and risk since their brevity makes them ideally suited for use in busy practice settings. This article reports results of a validity study of a short suicidal ideation scale (USSIS) used with an older adult population. The study tests the hypothesis that scores on the USSIS represent magnitude of sucidal thinking. The USSIS was used to gather data on more than 200 adults, ages 50 to 97 years, recruited from 2 clinical settings that serve older adults. Data are analysed to provide evidence from concurrent criterion, divergent, factorial, and known-groups discriminant validity. In addition, analyses was conducted to test measurement equivalence across the 2 study sites. Results are consistent with the scores on the USSIS representing magnitude of suicidal indeation, and with measurement equivalence across the study sites. (Edited publisher abstract)
Enhanced measurement sensitivity of hopeless ideation among older adults at risk of self-harm: reliability and validity of Likert-type responses to the Beck Hopelessness Scale
- Authors:
- NEUFELD Eva, O'ROURKE Norm, DONNELLY Martha
- Journal article citation:
- Aging and Mental Health, 14(6), August 2010, pp.752-756.
- Publisher:
- Taylor and Francis
Using a national sample of 117 older Canadians at risk of self-harm, this study obtained responses from older adults to a revised 4-point Likert-type Beck Hopelessness Scale response format, aiming to increase measurement sensitivity. The study set out to assess the psychometric properties of responses to this revised Beck Hopelessness Scale response format. The authors discuss the study and its results, concluding that the results provide preliminary support for a revised 4-point Likert-type Beck Hopelessness Scale response format. They note that exploratory factor analysis suggests the existence of two factors, labelled as Disappointment/Powerlessness and Negative Future Expectancies, and that both factors emerged as significant, unique, and roughly equivalent predictors of suicide-related ideation in this sample of older adults at risk of self-harm.
Examination of cognitive and instrumental functional performance as indicators for driving cessation risk across 3 years
- Authors:
- ACKERMAN Michelle, et al
- Journal article citation:
- Gerontologist, 48(6), December 2008, pp.802-810.
- Publisher:
- Oxford University Press
The purpose of this study was to prospectively examine the role of cognitive and instrumental functional performance in driving cessation while simultaneously accounting for any contributions of demographics, vision, physical performance, and health among a sample of older adults without dementia. Included in the analyses were 1,838 participants from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study who were drivers at baseline and completed the third-year assessment. Participants completed baseline assessments of sociodemographic characteristics, health, sensory function, physical function, cognitive abilities, instrumental functional performance, and depressive symptoms. Driving status was again ascertained 3 years later. Cox proportional hazard analyses to examine prospective predictors of driving cessation over a 3-year period. The final model indicated four significant risk factors for driving cessation: older age, poorer balance as measured by the Turn 360° test, slower cognitive speed of processing as measured by the Useful Field of View test, and poorer instrumental functional performance as assessed by the Everyday Problems Test. Although vision, health, and physical abilities are commonly considered when determining driving capacity, cognitive speed of processing and instrumental functional performance may be better indicators of subsequent likelihood of driving cessation across 3 years among older adults. Poor health and vision may only impact driving cessation to the extent that cognitive speed of processing and instrumental functioning are affected.
A semi-structured interview to assess visual hallucinations in older people
- Authors:
- MOSIMANN Urs Peter, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.712-718.
- Publisher:
- Wiley
Visual hallucinations are under-reported by patients and are often undiscovered by health professionals. There is no gold standard available to assess hallucinations. The authors' objective was to develop a reliable, valid semi-structured interview for identifying and assessing visual hallucinations in older people with eye disease and cognitive impairment. They piloted the North-East Visual Hallucinations Interview (NEVHI) in 80 older people with visual and/or cognitive impairment (patient group) and 34 older people without known risks of hallucinations (control group). The informants of 11 patients were interviewed separately. They established face validity, content validity, criterion validity, inter-rater agreement and the internal consistency of the NEVHI and assessed the factor structure for questions evaluating emotions, cognitions, and behaviours associated with hallucinations. Recurrent visual hallucinations were common in the patient group (68.8%) and absent in controls (0%). The criterion, face and content validities were good and the internal consistency of screening questions for hallucinations was high (Cronbach alpha: 0.71). The inter-rater agreements for simple and complex hallucinations were good (Kappa 0.72 and 0.83, respectively). Four factors associated with experiencing hallucinations (perceived control, pleasantness, distress and awareness) were identified and explained a total variance of 73%. Informants gave more don't know answers than patients throughout the interview, especially to questions evaluating cognitions and emotions associated with hallucinations. It was concluded that NEVHI is a comprehensive assessment tool, helpful to identify the presence of visual hallucinations and to quantify cognitions, emotions and behaviours associated with hallucinations.
Clinical evidence in guardianship of older adults is inadequate: findings from a Tri-State study
- Authors:
- MOYE Jennifer, et al
- Journal article citation:
- Gerontologist, 47(5), October 2007, pp.604-612.
- Publisher:
- Oxford University Press
This preliminary study compared clinical evaluations for guardianship in three states with varying levels of statutory reform. Case files for 298 cases of adult guardianship were reviewed in Massachusetts, Pennsylvania, and Colorado, three states with varying degrees of statutory reform. The quality and content of the written clinical evidence for guardianship and the hearing outcome were recorded. The quality of the written clinical evidence for guardianship was best in Colorado, the state with the most progressive statutory reform, earning a grade of B in the ratings, and worst in Massachusetts, a state with minimal reform, earning a grade of D – with nearly two thirds of the written evidence illegible. Information on specific functional deficits was frequently missing and conclusory statements were common. Information about the individual's key values and preferences was almost never provided, and individuals were rarely present at the hearing. Limited orders were used for 34% of the cases in Colorado, associated with more complete clinical testimony, but such orders were used in only 1 case in either Massachusetts or Pennsylvania. Implications: In this study, states with progressive statutes that promote functional assessment are associated with increased quality of clinical testimony and use of limited orders. A continuing dialogue between clinical and legal professionals is needed to advance reform in guardianship, and thereby provide for the needs and protect the rights of adults who face guardianship proceedings.
The resident profile is it sufficient for establishing level of care needs?
- Authors:
- RESNICK Barbara, et al
- Journal article citation:
- Journal of Social Work in Long-Term Care, 3(3/4), 2005, pp.87-102.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study considers the use of the Resident Profile as an evaluation tool for older adults considering a move to a Continuing Care Retirement Community (CCRC) setting. Unlike Assisted Living Facilities, the CCRC contract represents a lifetime commitment from the CCRC to care for them, regardless of future needs. A total of 7,635 Resident Profiles were completed at 10 facilities. There was a statistically significant difference in scores for each domain (function, physical parameters, cognition, social support, and mental health) of the Resident Profile, as well as the total score, between those who were recommended for independent living, assisted living or a skilled level of care. All domains of the Resident Profile together explained 15.5% of the level of care recommended. This tool can be used to help clinicians determine the level of care that is likely to be appropriate for the individual being evaluated. Future research should consider the relationship between the individual's score on the Resident Profile and successful living in the facility over time. In addition, future consideration of other factors that may help to better explain the level of care recommended for older adults moving into continuing care retirement communities will be helpful to comprehensively explain these recommendations. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).