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https://www.readbyqxmd.com/read/29130513/falls-and-hip-fractures-associated-with-urinary-incontinence-among-older-men-and-women-with-complex-needs-a-national-population-study
#1
Philip J Schluter, Edwin P Arnold, Hamish A Jamieson
AIMS: To determine if urinary incontinence (UI) was an independent risk factor for falls and hip fractures in community-dwelling older men and women with complex needs, after controlling for confounders. METHODS: Since 2012, all community care recipients in New Zealand have undergone standardized needs assessments using the Home Care International Residential Assessment Instrument (interRAI-HC). The interRAI-HC elicits information over multiple domains, including UI frequency and falls...
November 11, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29030309/hearing-the-voice-of-the-resident-in-long-term-care-facilities-an-internationally-based-approach-to-assessing-quality-of-life
#2
John N Morris, Anja Declercq, John P Hirdes, Harriet Finne-Soveri, Brant E Fries, Mary L James, Leon Geffen, Vahe Kehyayan, Kai Saks, Katarzyna Szczerbińska, Eva Topinkova
OBJECTIVES: interRAI launched this study to introduce a set of standardized self-report measures through which residents of long-term care facilities (LTCFs) could describe their quality of life and services. This article reports on the international development effort, describing measures relative to privacy, food, security, comfort, autonomy, respect, staff responsiveness, relationships with staff, friendships, and activities. First, we evaluated these items individually and then combined them in summary scales...
October 10, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29024219/the-determinants-of-service-complexity-in-children-with-intellectual-disabilities
#3
S L Stewart, K Falah Hassani, J Poss, J Hirdes
BACKGROUND: To date, little is known about the predictors of healthcare service utilisation in children with intellectual disability (ID). The aim of this study was to identify the factors associated with service complexity in children with ID in Ontario, Canada. METHODS: The population of this cross-sectional study consisted of 330 children with ID ages 4 to 18 years who accessed mental health services from November of 2012 to June of 2016 in four agencies. All participants completed the interRAI Child and Youth Mental Health and Developmental Disability Assessment Instrument, which is a semi-structured clinician-rated assessment that covers a range of common issues in children with ID...
November 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/28950742/evaluation-of-the-national-minimum-data-set-for-neurological-conditions-in-older-adults
#4
Sujita W Narayan, Hamish A Jamieson, Prasad S Nishtala
AIM: To evaluate the National Minimum Data Set (NMDS) against the International Resident Assessment Instrument-Home Care (interRAI-HC) in diagnosing dementia or Parkinson disease (PD). METHOD: The NMDS data were matched with interRAI-HC for all older individuals in New Zealand. Dementia or PD was compared within 90 and 180 days and 1 to 4 years preceding and subsequent to the date of diagnosis in interRAI-HC. Consistency was measured through sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), weighted kappa (κ), and McNemar test...
January 1, 2017: Journal of Geriatric Psychiatry and Neurology
https://www.readbyqxmd.com/read/28943479/clinical-characteristics-and-patterns-of-health-deficits-of-centenarians-receiving-home-care-and-long-term-care-services
#5
Shannon Freeman, Joshua J Armstrong, Suzanne L Tyas, Eva Neufeld
Centenarians (persons aged 100years and older) are one of the fastest growing cohorts in countries across the world. With the increasing prevalence of centenarians and growing amount of clinical information in large administrative health databases, it is now possible to more fully characterize the health of this unique and heterogeneous population. This study described patterns of health deficits in the centenarian population receiving care from community-based home care services and long-term care facilities (LTCFs) in Ontario, Canada...
December 1, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28882127/derivation-of-a-frailty-index-from-the-resident-assessment-instrument-home-care-adapted-for-switzerland-a-study-based-on-retrospective-data-analysis
#6
Catherine Ludwig, Catherine Busnel
BACKGROUND: The screening of frail individuals at risk for functional health decline and adverse health outcomes lies in the evolving agenda of home care providers. Such a screening can be based on a frailty index (FI) derived from data collected with interRAI instruments used in clinical routines to define care plans. The objective of this study was to assess the feasibility of deriving an FI from the Resident Assessment Instrument - Home Care adapted for Switzerland (Swiss RAI-HC). METHODS: Data were collected by the Geneva Institution for Homecare and Assistance in clinical routines...
September 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28832897/reliability-of-an-online-geriatric-assessment-procedure-using-the-interrai-acute-care-assessment-system
#7
COMPARATIVE STUDY
Melinda G Martin-Khan, Helen Edwards, Richard Wootton, Steven R Counsell, Paul Varghese, Wen Kwang Lim, Peteris Darzins, Lucy Dakin, Kerenaftali Klein, Leonard C Gray
OBJECTIVES: To determine whether geriatric triage decisions made using a comprehensive geriatric assessment (CGA) performed online are less reliable than face-to-face (FTF) decisions. DESIGN: Multisite noninferiority prospective cohort study. Two specialist geriatricians assessed individuals sequentially referred for an acute care geriatric consultation. Participants were allocated to one FTF assessment and an additional assessment (FTF or online (OL)), creating two groups-two FTF (FTF-FTF, n = 81) or online and FTF (OL-FTF, n = 85)...
September 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28791517/psychometric-evaluation-of-the-interrai-child-and-youth-mental-health-disruptive-aggression-behaviour-scale-dabs-and-hyperactive-distraction-scale-hds
#8
Chloe Lau, Shannon L Stewart, Donald H Saklofske, Paul F Tremblay, John Hirdes
The present study aims to validate the interRAI Child and Youth Mental Health (interRAI ChYMH), Disruptive/Aggression Behaviour Scale (DABS) and Hyperactive/Distraction Scale (HDS). Data were collected from children/youth aged 4-18 (N = 3464) across 39 mental health agencies in Ontario, Canada. Unrestricted factor analysis using polychoric correlation matrices and Samejima's graded item response theory (IRT) parameterizations were conducted for both measures. Scores on the HDS and DABS were also compared amongst children/youth diagnosed with attention-deficit hyperactivity disorder (ADHD) and disruptive behaviour disorder (DBD) respectively using DSM-IV criteria...
August 8, 2017: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/28762377/fecal-incontinence-is-associated-with-mortality-among-older-adults-with-complex-needs-an-observational-cohort-study
#9
Hamish A Jamieson, Philip J Schluter, Juno Pyun, Ted Arnold, Richard Scrase, Rebecca Nisbet-Abey, Vincent Mor, Joanne M Deely, Len Gray
OBJECTIVES: Fecal incontinence (FI) is a problem in growing older populations. Validating a suspected association between FI and mortality in community dwelling older adults could lead to improved planning for and management of the increasing complex older population. In a large cohort of New Zealand older adults, we assessed the prevalence of FI, urinary incontinence (UI), combined FI and UI, and their associations with mortality. METHODS: This study consisted of a retrospective analysis of international standardized geriatric assessment-home care (InterRAI-HC) data from community-dwelling adults aged 65 years or older, who met the criteria required for the InterRAI-HC, having complex needs and being under consideration for residential care...
September 2017: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/28758354/an-examination-of-correlates-for-adolescent-engagement-in-nonsuicidal-self-injury-suicidal-self-injury-and-substance-use
#10
Janell A Klassen, Chloe A Hamza, Shannon L Stewart
Little research has examined potential risk factors for direct versus indirect self-injury among adolescents. To address this limitation, 541 clinically referred adolescents were assessed using the interRAI Child and Youth Mental Health Assessment. Logistic regression analyses revealed that older females who experienced heightened depressive symptoms and neighborhood violence were at increased risk for direct self-injury, specifically nonsuicidal and suicidal self-injury. Additionally, adolescents who experienced higher levels of caregiver distress were at greater risk of suicidal self-injury...
July 31, 2017: Journal of Research on Adolescence: the Official Journal of the Society for Research on Adolescence
https://www.readbyqxmd.com/read/28677869/an-epidemiological-profile-of-bipolar-disorder-among-older-adults-with-complex-needs-a-national-cross-sectional-study
#11
Philip J Schluter, Cameron Lacey, Richard J Porter, Hamish A Jamieson
OBJECTIVES: Research on bipolar disorder (BD) among community-living older adults is scant and often suffers from important methodological limitations. Using a national database, this study presents an epidemiological profile of BD in older community residents within New Zealand. METHODS: Since 2012, all New Zealand community care recipients have undergone a standardized needs assessment using the Home Care International Residential Assessment Instrument (interRAI-HC)...
August 2017: Bipolar Disorders
https://www.readbyqxmd.com/read/28635539/an-old-challenge-with-new-promises-a-systematic-review-on-comprehensive-geriatric-assessment-in-long-term-care-facilities
#12
Francesco Panza, Vincenzo Solfrizzi, Madia Lozupone, Maria Rosaria Barulli, Francesca D'Urso, Roberta Stallone, Vittorio Dibello, Alessia Noia, Cristina Di Dio, Antonio Daniele, Antonello Bellomo, Davide Seripa, Antonio Greco, Giancarlo Logroscino
Comprehensive geriatric assessment (CGA) is a multidimensional and multidisciplinary diagnostic process focused on determining the clinical profile, pathological risk, residual skills, short- and long-term prognosis, and personalized therapeutic and care plan of the functionally compromised and frail older subjects. Previous evidence suggested that the effectiveness of CGA programs may be influenced by settings where the CGA is performed [i.e., hospital, posthospital discharge/long-term care facilities (LTCFs), or community/home] as well as the specific clinical conditions of older frail individuals...
July 28, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/28587863/the-mediating-effect-of-depressive-symptoms-on-the-relationship-between-bullying-victimization-and-non-suicidal-self-injury-among-adolescents-findings-from-community-and-inpatient-mental-health-settings-in-ontario-canada
#13
Philip Baiden, Shannon L Stewart, Barbara Fallon
Although bullying victimization has been linked to a number of behavioral and emotional problems among adolescents, few studies have investigate the mechanism through which bullying victimization affect non-suicidal self-injury. The objectives of this study were to examine the effect of bullying victimization on non-suicidal self-injury and the mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents. Data for this study came from the interRAI Child and Youth Mental Health dataset...
September 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28531254/frailty-status-at-admission-to-hospital-predicts-multiple-adverse-outcomes
#14
Ruth E Hubbard, Nancye M Peel, Mayukh Samanta, Leonard C Gray, Arnold Mitnitski, Kenneth Rockwood
Aims: frailty is proposed as a summative measure of health status and marker of individual vulnerability. We aimed to investigate the discriminative capacity of a frailty index (FI) derived from interRAI Comprehensive Geriatric Assessment for Acute Care (AC) in relation to multiple adverse inpatient outcomes. Methods: in this prospective cohort study, an FI was derived for 1,418 patients ≥70 years across 11 hospitals in Australia. The interRAI-AC was administered at admission and discharge by trained nurses, who also screened patients daily for geriatric syndromes...
September 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28481817/the-revised-index-for-social-engagement-in-long-term-care-facilities-a-psychometric-study
#15
Ju Young Yoon, Hongsoo Kim
BACKGROUND: Social engagement is known to be an important factor that affects the quality of life and the psychological well-being of residents in long-term care settings. Few studies have examined social engagement in long-term care facilities in non-Western countries. PURPOSE: This study aimed to evaluate the validity and reliability of the revised index for social engagement (RISE), which was derived from the Korean version of the interRAI Long Term Care Facilities instrument...
June 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28435423/quality-of-care-and-job-satisfaction-in-the-european-home-care-setting-research-protocol
#16
Liza Van Eenoo, Henriëtte van der Roest, Hein van Hout, Anja Declercq
INTRODUCTION: Since the European population is ageing, a growing number of elderly will need home care. Consequently, high quality home care for the elderly remains an important challenge. Job satisfaction among care professionals is regarded as an important aspect of the quality of home care. AIM: This paper describes a research protocol to identify elements that have an impact on job satisfaction among care professionals and on quality of care for older people in the home care setting of six European countries...
August 31, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28420324/evaluation-of-a-technology-enhanced-integrated-care-model-for-frail-older-persons-protocol-of-the-spec-study-a-stepped-wedge-cluster-randomized-trial-in-nursing-homes
#17
RANDOMIZED CONTROLLED TRIAL
Hongsoo Kim, Yeon-Hwan Park, Young-Il Jung, Hyoungshim Choi, Seyune Lee, Gi-Soo Kim, Dong-Wook Yang, Myunghee Cho Paik, Tae-Jin Lee
BACKGROUND: Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanced integrated care model, called Systems for Person-centered Elder Care (SPEC), for frail older adults at nursing homes. METHODS/DESIGN: SPEC is a prospective stepped-wedge cluster randomized trial conducted at 10 nursing homes in South Korea. Residents aged 65 or older meeting the inclusion/exclusion criteria in all the homes are eligible to participate...
April 18, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28374656/does-using-the-interrai-palliative-care-instrument-reduce-the-needs-and-symptoms-of-nursing-home-residents-receiving-palliative-care
#18
Kirsten Hermans, Johanna De Almeida Mello, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove, Anja Declercq
OBJECTIVE: This study aimed to evaluate whether using the interRAI Palliative Care instrument (the interRAI PC) in nursing homes is associated with reduced needs and symptoms in residents nearing the end of their lives. METHOD: A quasi-experimental pretest-posttest study using the Palliative care Outcome Scale (POS) was conducted to compare the needs and symptoms of residents nearing the end of their lives in the control and intervention nursing homes. Care professionals at the intervention nursing homes filled out the interRAI PC over the course of a year for all residents aged 65 years and older who were nearing the end of their lives...
April 4, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28277206/location-location-location-characteristics-and-services-of-long-stay-home-care-recipients-in-retirement-homes-compared-to-others-in-private-homes-and-long-term-care-homes
#19
Jeffrey W Poss, Chi-Ling Joanna Sinn, Galina Grinchenko, Jane Blums, Tom Peirce, John Hirdes
We examine recipients of publicly funded ongoing care in a single Ontario jurisdiction who reside in three different settings: long-stay home care patients in private homes and apartments, other patients in retirement homes and residents of long-term care homes, using interRAI assessment instruments. Among home care patients, those in retirement homes have higher proportions of dementia and moderate cognitive impairment, less supportive informal care systems as well as more personal care and nursing services above those provided by the public home care system, more frequent but shorter home support visits and lower than expected public home care expenditures...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28129493/antipsychotic-drug-interactions-and-mortality-among-nursing-home-residents-with-cognitive-impairment
#20
Rosa Liperoti, Federica Sganga, Francesco Landi, Eva Topinkova, Michael D Denkinger, Henriëtte G van der Roest, Andrea D Foebel, Harriet Finne-Soveri, Roberto Bernabei, Graziano Onder
OBJECTIVE: Among elderly individuals with dementia, the use of antipsychotics has been associated with serious adverse events including ischemic stroke and death. Multiple medications can interact with antipsychotics and increase the risk of such adverse events. The purpose of this retrospective, longitudinal cohort study was to estimate the prevalence of potential antipsychotic drug interactions and their effect on increasing the risk of death among cognitively impaired elderly individuals treated with antipsychotics...
January 2017: Journal of Clinical Psychiatry
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