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National evaluation of partnerships for older people projects: interim report of progress: briefing paper: cost-effectiveness: measuring effects: emergency bed-day use
- Author:
- UNIVERSITY OF HERTFORDSHIRE
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 7p.
- Place of publication:
- London
This is an interim report of an ongoing evaluation of the National POPP programme. It is a statement of progress providing very early findings, lessons learnt and key messages from the experience of the POPP pilots to date.
Validation of the Retardation Rating Scale for detecting depression in geriatric inpatients
- Authors:
- BONIN-GUILLAUME Sylvie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(1), January 2007, pp.69-76.
- Publisher:
- Wiley
Validation in the elderly of the Retardation Rating Scale (RRS), which includes items related to motor and mental retardation but not vegetative items, and may be particularly well-suited for the diagnosis of depression in the elderly. One hundred and sixty-five geriatric inpatients (105 depressed), aged 65 and over, without dementia, neuroleptic medication and increased risk of slowed mobility, were assessed with the RRS and three validated gold-standard scales for geriatric depression (Hamilton Depression Rating Scale, Montgomery and Asberg Depression Rating Scale, Geriatric Depression Scale). Factor analysis used varimax rotation, Cronbach's, Spearman's and Ferguson's coefficients and the Mann-Whitney U-test to evaluate construct and internal consistency. Convergent validity and Receiver Operating Characteristics curves were also analyzed. Factor analysis retained three interpretable domains: (1) motor items (45% of the variance); (2) mental items and (3) the cognitive items. Internal consistency was high ( = 0.91). Each item was strongly correlated with the total RRS score and associated with depression. The RRS showed good convergent validity and its total score increased with depression severity. A cut-off score of 10 yielded 79% sensitivity and 80% specificity, with 80% of the patients properly classified, that is 15% more than standard observer scales. RRS is a valid screening tool for depression and improves recognition of depression in geriatric inpatients.
Agreement between dementia patient report and proxy reports using the Nottingham Health Profile
- Authors:
- BOYER F., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(11), November 2004, pp.1026-1034.
- Publisher:
- Wiley
The aim of the study was to examine the agreement between patient reports and their proxy reports (family and care provider proxies) on Health Status in a sample of patients with dementia. Completion rates for the different NHP dimensions ranged from 78 to 90% for the dementia subjects. Inter-rater agreement between different proxies and subject was from moderate to good for physical assessment (ICCs from 0.54 to 0.78 for physical mobility scales). Patient/family proxy concordance was moderate to good for five out of six dimensions (physical mobility, social isolation, pain, energy, sleep) and poor for emotional reaction. Family proxies systematically reported lower functioning than did patients in the four subscales assessing: physical mobility (p < 0.0001), energy (p < 0.005), social isolation (p < 0.01) and sleep (p < 0.03). Care provider proxies only estimated physical mobility as lower (p < 0.0001). Age and physical status of the patient significantly affected agreement in patient-care provider proxy ratings. Thus, caution is appropriate when resorting to proxies to estimate the Health Status of a dementia patient.
COMMUNI-CARE: assessment tool for reactions and behaviours of patients with dementia in a multisensory stimulation environment
- Authors:
- LOPEZ Jose Javier Blanco, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(4), 2016, p.526–538.
- Publisher:
- Sage
Background: The ‘Snoezelen’ is an approach based on stimulation and sensory stimulation proposals, giving priority to the notion of caretaking. The aim of this paper is to present the creation and validation of the COMMUNI-CARE scale. This is a new tool that allows for an evaluation of the psycho-emotional well-being that the patient with dementia shows in a ‘Snoezelen’ multisensory stimulation environment. Methods: In total 429 evaluations in 143 multisensory stimulation interventions were made using the COMMUNI-CARE scale, in 16 patients between 53 and 85 years of age, diagnosed with moderate to severe dementia. The goal was to evaluate the psycho-emotional well-being the patients present. Results: The tool’s internal consistency showed a Crombach alpha of 0.90. The concurrent validity between the COMMUNI-CARE scale and the Clinical Global Impression (CGI) was of r = −0.961. The Kappa index used to determine the reliability between evaluators was of K = 0.87. Conclusions: The COMMUNI-CARE scale fulfills the basic principles of classic psychometrics of construct, and criterion validity and reliability. It does so while showing a clear idea, through its five subscales (anxiety, communication, pleasure, adaptation to the surroundings and affection), of the degree of well-being that the patient with dementia shows during such interventions. This scale embodies, through psychometrics, a very subjective human experience with a tool unavailable to date. (Edited publisher abstract)
Measuring the impact of Helping in Hospitals: final evaluation report
- Authors:
- BABUDU Peter, TREVITHICK Elliot, SPATH Rahel
- Publishers:
- NESTA, The Social Innovation Partnership
- Publication year:
- 2016
- Pagination:
- 56
- Place of publication:
- London
An evaluation of the Helping in Hospitals project to examine the effectiveness of hospital volunteering in improving patient experience and well-being. The project included a variety of hospital impact volunteering roles such as mealtime assistants or dementia buddies aimed at directly improving patient experience and well-being. Evaluation data were collected from nine hospitals, focusing on wards with a large proportion of older and frail patients, many with dementia. Outcomes measured included mood, anxiety, nutrition and hydration, reduced readmissions, length of stay, transfers of care and decreased number of falls. Not all of the sites collected all of the outcomes data. Key results from the nine hospital trusts’ evaluations found that volunteering shows promise as a way to improve patient experience, mood, anxiety levels, nutrition and hydration, while releasing nurse time to care. However, none of the hospitals found any effects on re-admissions, length of stay, delayed transfer of care and number of falls. (Edited publisher abstract)
End of life care: an evaluation of the implementation of the Gold Standards Framework and the Liverpool Care Pathway for people with dementia in five care settings across Greater Manchester: executive summary
- Authors:
- MCCLELLAND Bob, et al
- Publisher:
- Liverpool John Moores University
- Publication year:
- 2008
- Pagination:
- 8p.
- Place of publication:
- Liverpool
The Greater Manchester End of Life Care Initiative aims to deliver education, training and improvement in the quality of care received by older adults with dementia in a care setting when coming to the end of their lives. This evaluation aimed to assess perceptions of staff on the role and appropriateness of the use of the Gold Standards Framework and Liverpool Care Pathway tools in the individual care of patients and/or residents with dementia, the experience and role of carers and family members with the care service, and the job satisfaction of the multidisciplinary team in a range of long term care settings in the Greater Manchester area. A case study approach was used, so that tools and interventions could be explored and compared across care settings, together with surveys, interviews, focus groups, and documents and records. The report describes the evaluation study and its results. It notes an emerging picture of overall staff confidence in the planning and implementation of end of life care for people with advanced dementia, and the general agreement of care staff that the Gold Standards Framework and Liverpool Care Pathway tools enable staff to assess, monitor and implement appropriate care to meet the needs of the dying residents. It also sets out conclusions and recommendations.
The effectiveness of very short scales for depression screening in elderly medical patients
- Authors:
- POMEROY Ian M., CLARK Christopher R., PHILP Ian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(3), March 2001, pp.321-326.
- Publisher:
- Wiley
This study examines the effectiveness of very short scales in screening for depression in older rehabilitation patients. Eighty-seven patients over the age of 60 who were admitted to rehabilitation wards or were attending a day rehabilitation facility at a British teaching hospital were screened for depression using the 1-item mental health inventory, and the 4-item, 15-item and 30-item geriatric depression scales. The sensitivity, specificity, and areas under receiver operating characteristic curves were compared, with the diagnostic criteria for research of ICD-10 providing the criterion diagnosis of depressive episode. All the scales had comparable sensitivity, specificity, and positive predictive values. Comparison of receiver operating characteristic curves for each scale showed no statistically significant difference between them. Finds that the very short scales performed just as well as the widely used longer screening scales in this population. Concludes that they are worthy of further examination in elderly populations at risk of depression, and may be particularly suitable for older adults due to their brevity and ease of use.
Preadmission psychosocial screening of older orthopaedic surgery patients: evaluation of a social work service
- Authors:
- EPSTEIN Janet, et al
- Journal article citation:
- Social Work in Health Care, 27(2), 1998, pp.1-25.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In this article a preadmission social intervention is evaluated for impact on length of hospital stay (LOS) and patient satisfaction. Psychosocial issues related to function and post-discharge needs were assessed at an exploratory level. A more intensive preadmission intervention is recommended to improve impact on LOS and informal support system involvement, while future outcomes studies would clarify the nature of service gaps and high risk groups.
The arts in health care: a palette of possibilities
- Editors:
- KAYE Charles, BLEE Tony
- Publisher:
- Jessica Kingsley
- Publication year:
- 1997
- Pagination:
- 290p.,illus.,bibliog.
- Place of publication:
- London
Describes current initiatives in the use of arts in health and health care. Adopts a practical approach, aimed at clinical and professional staff at all levels in health care settings to introduce and develop the use of arts in their own sphere of influence. Shows that the arts must be an integral part of people's lives and stresses that the environment and the arts can affect the individual and that aesthetic stimuli can change mood and behaviour. Examines many aspects of the use of the arts in health care settings, including: getting started; involving the community; involving user groups such as older people and people with learning difficulties; and evaluating the effect of the arts on patients' recovery and staff attitude. Also includes examples of projects that have already been set up.
Hospital to a Healthier Home: evaluation of a winter pressures pilot service
- Author:
- CARE AND REPAIR CYMRU
- Publisher:
- Care and Repair Cymru
- Publication year:
- 2019
- Pagination:
- 36
- Place of publication:
- Cardiff
An evaluation of the Hospital to a Healthier Home pilot scheme, delivered by Care and Repair, which ran from 11 hospitals between January and March 2019. The scheme aimed to support older people to be safely and more quickly discharged from hospitals to their homes and prevent them being re-admitted by making their homes safe and more accessible. This evaluation describes how the Hospital to a Health Home case worker service started, what type of interventions have been provided to patients and hospital staff, costs, benefits and the difference it has made to patient well-being, quicker safe discharges, and preventing re-admissions. The pilot involved dedicated Care and Repair case workers based at each hospital to facilitate practical improvements to a patient’s home and offer practical support on issues such as benefits entitlements. During the evaluation period: 626 patients were referred through Hospital to a Healthier Home service; 508 patients received work that helped quicker safe discharge. Based on a local assessment of bed day savings, the evaluation found that service costs are fully substantiated, and return £2.80 for every £1 invested (both revenue and capital). NHS frontline staff interviewed for the evaluation study also felt the service was of significant benefit and had the potential to deliver more. (Edited publisher abstract)