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BMC Geriatrics

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https://www.readbyqxmd.com/read/30642257/explaining-experiences-of-community-dwelling-older-adults-with-a-pro-active-comprehensive-geriatric-assessment-program-a-thorough-evaluation-by-interviews
#1
Wanda Rietkerk, Merel F Smit, Klaske Wynia, Joris P J Slaets, Sytse U Zuidema, Debby L Gerritsen
INTRODUCTION: Pro-active assessment programs are increasingly used to improve care for older adults. These programs include comprehensive geriatric tailored to individual patient preferences. Evidence for the effects of these programs on patient outcomes is nevertheless scarce or ambiguous. Explaining these dissatisfying results is difficult due to the multi-component nature of the programs. The objective of the current study was to explore and explain the experience of older adults participating in a pro-active assessment program, to help to clarify the effects...
January 14, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30642252/effects-of-three-home-based-exercise-programmes-regarding-falls-quality-of-life-and-exercise-adherence-in-older-adults-at-risk-of-falling-protocol-for-a-randomized-controlled-trial
#2
Anne-Gabrielle Mittaz Hager, Nicolas Mathieu, Constanze Lenoble-Hoskovec, Jaap Swanenburg, Rob de Bie, Roger Hilfiker
BACKGROUND: Fall prevention interventions with home-based exercise programmes are effective to reduce the number and the rate of falls, by reducing risk factors. They improve balance, strength, function, physical activity, but it is known that older adults' exercise adherence declines over time. However, it is unclear which delivery-modalities of the home-based exercise programmes show the best adherence and the largest effect. We created a new home-based exercise programme, the Test-and-Exercise (T&E) programme, based on the concepts of self-efficacy and empowerment...
January 14, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30634923/discontinuously-supervised-aerobic-training-vs-physical-activity-promotion-in-the-self-management-of-type-2-diabetes-in-older-italian-patients-design-and-methods-of-the-tripl-a-randomized-controlled-trial
#3
Francesco Lucertini, Carlo Ferri Marini, Davide Sisti, Vilberto Stocchi, Ario Federici, Franco Gregorio, Donata Piangerelli, Carlos Chiatti, Antonio Cherubini, Massimo Boemi, Fabio Romagnoli, Michela Cucchi, Federica D'Angelo, Maria Paola Luconi, Anna Rita Bonfigli
BACKGROUND: Physical activity (PA) has health benefits for people with type 2 diabetes (T2D). Indeed, regular PA is considered an important part of any T2D management plan, yet most patients adopt a sedentary lifestyle. Exercise referral schemes (ERS) have the potential to effectively promote physical activity among T2D patients, and their effectiveness may be enhanced when they are supported by computer-based technologies. The 'TRIPL-A' study (i.e., a TRIal to promote PhysicaL Activity among patients in the young-old age affected by T2D) aims to assess if realizing an innovative ERS, based on a strong partnership among general practitioners, specialist physicians, exercise specialists, and patients, and supported by a web-based application (WBA), can effectively lead sedentary older T2D patients to adopt an active lifestyle...
January 11, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30634916/geographical-variations-in-self-rated-health-and-functional-limitations-among-older-chinese-in-eight-who-sage-provinces
#4
Vasoontara Yiengprugsawan, Catherine D'Este, Julie Byles, Hal Kendig
BACKGROUND: The proportion of population ageing in China will grow significantly in the next few decades but the pace of population ageing and social change vary considerably across regions. Notably, Eastern coastal areas are economically more advanced compared to the Western region. These economic disparities could result in differing adverse health outcomes. METHODS: We investigate geographical variations in self-rated overall health and functional limitations in a national representative sample of Chinese aged 50 years and older (n = 13,175) using the WHO Study on global AGEing and adult health (WHO SAGE)...
January 11, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30626340/performance-based-clinical-tests-of-balance-and-muscle-strength-used-in-young-seniors-a-systematic-literature-review
#5
Ronny Bergquist, Michaela Weber, Michael Schwenk, Synnøve Ulseth, Jorunn L Helbostad, Beatrix Vereijken, Kristin Taraldsen
BACKGROUND: Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are being used in young seniors and their methodological quality. This two-step review aims to 1) identify commonly used tests of balance and strength, and 2) evaluate their measurement properties in young seniors...
January 9, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30626341/a-randomized-controlled-trial-protocol-to-test-the-efficacy-of-a-dual-task-multicomponent-exercise-program-in-the-attenuation-of-frailty-in-long-term-nursing-home-residents-aging-on-dual-task-study
#6
Chloe Rezola-Pardo, Haritz Arrieta, Susana Maria Gil, Jose Javier Yanguas, Miren Iturburu, Jon Irazusta, Begoña Sanz, Ana Rodriguez-Larrad
BACKGROUND: The purpose of the Aging-ONDUAL-TASK study is to determine if a supervised dual-task program carried out in long-term nursing homes is able to attenuate frailty in a greater extent than the same multicomponent exercise program alone. METHODS: This multicenter randomized controlled trial will include 188 participants who will be randomly allocated to either a multicomponent exercise program or to the same multicomponent program with simultaneous cognitive training (dual-task training)...
January 8, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30621609/the-influence-of-organizational-factors-on-the-attitudes-of-residential-care-staff-toward-the-sexuality-of-residents-with-dementia
#7
Tineke S M Roelofs, Katrien G Luijkx, Marielle C M Cloin, Petri J C M Embregts
BACKGROUND: The attitudes of care staff toward the sexuality of residents with dementia they care for is assumed to influence the residents' expression of their sexuality in the way they want. This paper examines the effect of organizational factors, person-centered care, and the culture of the organization on the attitudes of care staff toward the sexuality of residents with dementia in residential care facilities (RCF) . METHODS: Care staff in different functions at six RCF organizations (N = 187) participated...
January 8, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30621606/consensus-and-evidence-based-medication-review-to-optimize-and-potentially-reduce-psychotropic-drug-prescription-in-institutionalized-dementia-patients
#8
Mireia Massot Mesquida, Montserrat Tristany Casas, Alicia Franzi Sisó, Isabel García Muñoz, Óscar Hernández Vian, Pere Torán Monserrat
BACKGROUND: Dementia patients often show neuropsychiatric symptoms, known as behavioral and psychological symptoms of dementia (BPSD). These are a common motive for medical consultations, hospitalizations, and nursing home stays. Various studies have suggested that the high prevalence of psychotropic drug use to treat BPSD in institutionalized dementia patients may lead to impaired cognitive capacity, rigidity, somnolence, and other complications during the course of the illness. The aim of this study was to design a consensus-based intervention between care levels to optimize and potentially reduce prescription of psychotropic drugs in institutionalized patients with dementia and assess the changes occurring following its implementation...
January 8, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30616612/procalcitonin-is-not-an-independent-predictor-of-30-day-mortality-albeit-predicts-pneumonia-severity-in-patients-with-pneumonia-acquired-outside-the-hospital
#9
Takanori Akagi, Nobuhiko Nagata, Hiroyuki Miyazaki, Taishi Harada, Satoshi Takeda, Yuji Yoshida, Kenji Wada, Masaki Fujita, Kentaro Watanabe
BACKGROUND: Procalcitonin (PCT) is a useful marker for pneumonia. However, its clinical usefulness in elderly patients has not been studied extensively. This study aimed to assess the relationship between PCT and prognosis and pneumonia severity in elderly patients with pneumonia acquired outside the hospital. METHODS: Data considered relevant to pneumonia severity and prognosis were retrospectively obtained from clinical charts of all patients with pneumonia who were admitted to our hospital from 2010 to 2017...
January 7, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30616592/knowledge-help-seeking-and-efficacy-to-find-respite-services-an-exploratory-study-in-help-seeking-carers-of-people-with-dementia-in-the-context-of-aged-care-reforms
#10
L Phillipson, K Johnson, E Cridland, D Hall, C Neville, E Fielding, H Hasan
BACKGROUND: Research highlights the need for carers of people with dementia to acquire relevant and timely information to assist them to access appropriate respite services. Unfortunately, negative experiences of information-seeking can create additional stress for carers and contribute to delays in up-take, or not using respite services at all. METHODS: Cross-sectional survey data was collected from a convenience sample of n = 84 carers of older people with dementia living in the Illawarra-Shoalhaven region of NSW, Australia...
January 7, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30616586/influence-of-activity-space-on-the-association-between-neighborhood-characteristics-and-dementia-risk-results-from-the-3-city-study-cohort
#11
Noémie Letellier, Isabelle Carrière, Laure-Anne Gutierrez, Audrey Gabelle, Jean-François Dartigues, Carole Dufouil, Catherine Helmer, Emmanuelle Cadot, Claudine Berr
BACKGROUND: Socioeconomic level of residential environment was found to influence cognitive performance. However, individuals from the same place of residence may be affected differently. We aim to investigate for the first time the influence of individual activity space on the association between neighborhood socioeconomic status (NSES) and the risk of dementia. METHODS: In the frame of the Three-City cohort, a French population-based study, we followed longitudinally (12 years) 7009 participants aged over 65...
January 7, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30616537/individualized-counselling-for-active-aging-protocol-of-a-single-blinded-randomized-controlled-trial-among-older-people-the-agnes-intervention-study
#12
Taina Rantanen, Katja Pynnönen, Milla Saajanaho, Sini Siltanen, Laura Karavirta, Katja Kokko, Anu Karvonen, Markku Kauppinen, Timo Rantalainen, Merja Rantakokko, Erja Portegijs, Mary Hassandra
BACKGROUND: Active aging has been established as a policy goal for aging societies. We define active aging at the individual level as striving for elements of well-being through activities in relation to a person's goals, functional capacities and opportunities. Increasing evidence suggests that any meaningful activity is beneficial for different aspects of well-being in older people. The aim of the present randomized controlled trial is to test the feasibility and effectiveness of a one-year community-based intervention on active aging...
January 7, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30606112/optimising-costs-in-reducing-rate-of-falls-in-older-people-with-the-improvement-of-balance-by-means-of-vestibular-rehabilitation-refovere-study-a-randomized-controlled-trial-comparing-computerised-dynamic-posturography-vs-mobile-vibrotactile-posturography-system
#13
Andrés Soto-Varela, Pilar Gayoso-Diz, Ana Faraldo-García, Marcos Rossi-Izquierdo, Isabel Vaamonde-Sánchez-Andrade, María Del-Río-Valeiras, Antonio Lirola-Delgado, Sofía Santos-Pérez
BACKGROUND: Accidental falls, especially for the elderly, are a major health issue. Balance disorders are one of their main causes. Vestibular rehabilitation (VR) has proven to be useful in improving balance of elderly patients with instability. Its major handicap is probably its cost, which has prevented its generalisation. So, we have designed a clinical trial with posturographic VR, to assess the optimum number of sessions necessary for a substantial improvement and to compare computerised dynamic posturography (CDP) (visual feedback) and mobile posturography (vibrotactile feedback)...
January 3, 2019: BMC Geriatrics
https://www.readbyqxmd.com/read/30594142/the-impact-of-rural-urban-community-settings-on-cognitive-decline-results-from-a-nationally-representative-sample-of-seniors-in-china
#14
Yuanxi Xiang, Hossein Zare, Cuiling Guan, Darrell Gaskin
BACKGROUND: Aging and rural-urban disparities are two major social problems in today's ever-developing China. Much of the existing literature has supported a negative association between adverse community setting with the cognitive functioning of seniors, but very few studies have empirically investigated the impact of rural-urban community settings on cognitive decline in the late life course of the population in developing countries. METHODS: Data of seniors aged 65 or above (n = 1709) within CHARLS (The China Health and Retirement Longitudinal Study, a sister study of HRS), a nationally representative longitudinal cohort (2011-2015) in China, were analyzed using a multilevel modeling (MLM) of time within individuals, and individual within communities...
December 29, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30594139/prevalence-trend-and-contributing-factors-of-geriatric-syndromes-among-older-swedes-results-from-the-stockholm-county-council-public-health-surveys
#15
Yajun Liang, Christian Rausch, Lucie Laflamme, Jette Möller
BACKGROUND: Evidence is scarce on the trend in prevalence of geriatric syndromes (GS). This study assesses how GS prevalence changes over time in Swedish older community-dwellers by socio-demography, and attempts to highlight factors that may contribute to explain the trend. METHODS: Data from Stockholm County Council Public Health Surveys in 2006, 2010 and 2014 were used. Old adults, aged 65-84 years, with measurements on GS items were identified. Thus, a total of 17,560 participants were selected in 2006 (n = 6295), 2010 (n = 6733) and 2014 (n = 4532)...
December 29, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30587158/a-frailty-index-derived-from-a-standardized-comprehensive-geriatric-assessment-predicts-mortality-and-aged-residential-care-admission
#16
Rosie Burn, Ruth E Hubbard, Richard J Scrase, Rebecca K Abey-Nesbit, Nancye M Peel, Philip J Schluter, Hamish A Jamieson
BACKGROUND: Frailty in older adults is a condition characterised by a loss or reduction in physiological reserve resulting in increased clinical vulnerability. However, evidence suggests that frailty may be modifiable, and identifying frail older people could help better target specific health care interventions and services. METHODS: This was a regional longitudinal study to develop a frailty index for older adults living in Canterbury New Zealand. Participants included 5586 community dwelling older people that had an interRAI Minimum Data Set (MDS-HC) Home Care assessment completed between 2008 and 2012...
December 27, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30587151/a-group-study-on-the-effects-of-a-short-multi-domain-cognitive-training-in-healthy-elderly-italian-people
#17
Chiara F Tagliabue, Sabrina Guzzetti, Giulia Gualco, Giovanna Boccolieri, Alfonsa Boccolieri, Stuart Smith, Roberta Daini
BACKGROUND: Alongside physiological cognitive ageing, nowadays there is an alarming increase in the incidence of dementia that requires communities to invest in its prevention. The engagement in cognitively stimulating activities and strong social networks has been identified among those protective factors promoting successful cognitive ageing. One aspect regarding cognitive stimulation concerns the relevance of the frequency of an external intervention. For this reason, the aim of this study was to evaluate the efficacy of a 3-month cognitive training program, once per week, in a group of healthy elderly aged over 60 years old...
December 27, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30587140/validation-of-a-one-year-fracture-prediction-tool-for-absolute-hip-fracture-risk-in-long-term-care-residents
#18
Ahmed M Negm, George Ioannidis, Micaela Jantzi, Jenn Bucek, Lora Giangregorio, Laura Pickard, John P Hirdes, Jonathan D Adachi, Julie Richardson, Lehana Thabane, Alexandra Papaioannou
BACKGROUND: Frail older adults living in long term care (LTC) homes have a high fracture risk, which can result in reduced quality of life, pain and death. The Fracture Risk Scale (FRS) was designed for fracture risk assessment in LTC, to optimize targeting of services in those at highest risk. This study aims to examine the construct validity and discriminative properties of the FRS in three Canadian provinces at 1-year follow up. METHODS: LTC residents were included if they were: 1) Adults admitted to LTC homes in Ontario (ON), British Columbia (BC) and Manitoba (MB) Canada; and 2) Received a Resident Assessment Instrument Minimum Data Set Version 2...
December 27, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30577791/the-decision-making-process-for-unplanned-admission-to-hospital-unveiled-in-hospitalised-older-adults-a-qualitative-study
#19
Maria Johanna van der Kluit, Geke J Dijkstra, Sophia E de Rooij
BACKGROUND: The hazards of hospitalisation, and the growing demand for goal-oriented care and shared decision making, increasingly question whether hospitalisation always aligns with the preferences and needs of older adults. Although decision models are described comprehensively in the literature, little is understood about how the decision for hospitalisation is made in real life situations, especially under acute conditions. The aim of this qualitative study was to gain insight into how the decision to hospitalise was made from the perspective of the older patient who was unplanned admitted to hospital...
December 22, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/30572832/health-services-utilisation-amongst-older-persons-during-the-last-year-of-life-a-population-based-study
#20
Danielle Ní Chróinín, David E Goldsbury, Alexander Beveridge, Patricia M Davidson, Afaf Girgis, Nicholas Ingham, Jane L Phillips, Anne M Wilkinson, Jane M Ingham, Dianne L O'Connell
BACKGROUND: Accurate population-based data regarding hospital-based care utilisation by older persons during their last year of life are important in health services planning. We investigated patterns of acute hospital-based service use at the end of life, amongst older decedents in New South Wales (NSW), Australia. METHODS: Data from all persons aged ≥70 years who died in the state of NSW Australia in 2007 were included. Several measures of hospital-based service utilisation during the last year of life were assessed from retrospectively linked data comprising data for all registered deaths, cause of death, hospital care during the last year of life (NSW Admitted Patient Data Collection [APDC] and Emergency Department [ED] Data Collection [EDDC]), and the NSW Cancer Registry...
December 20, 2018: BMC Geriatrics
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