scholarly journals Depressive symptoms and adverse outcomes from hospitalization in older adults: Secondary outcomes of a trial of falls prevention education

2015 ◽  
Vol 60 (1) ◽  
pp. 96-102 ◽  
Author(s):  
Terry P. Haines ◽  
Cylie M. Williams ◽  
Anne-Marie Hill ◽  
Steven M. McPhail ◽  
D. Hill ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Adverse Outcomes ◽  
Falls Prevention ◽  
Prevention Education ◽  
Secondary Outcomes

scholarly journals ‘My independent streak may get in the way’: how older adults respond to falls prevention education in hospital

BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e012363 ◽  
Author(s):  
Anne-Marie Hill ◽  
Jacqueline Francis-Coad ◽  
Terry P Haines ◽  
Nicholas Waldron ◽  
Christopher Etherton-Beer ◽  
...  
Keyword(s):  
Older Adults ◽  
Falls Prevention ◽  
Prevention Education ◽  
The Way

Falls prevention education for older adults during and after hospitalization: A systematic review and meta-analysis

2013 ◽  
Vol 73 (5) ◽  
pp. 530-544 ◽  
Author(s):  
Den-Ching A Lee ◽  
Elizabeth Pritchard ◽  
Fiona McDermott ◽  
Terry P Haines
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Falls Prevention ◽  
Prevention Education

scholarly journals Effectiveness of a nurse-led hospital-to-home transitional care intervention for older adults with multimorbidity and depressive symptoms: A pragmatic randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254573
Author(s):  
Maureen Markle-Reid ◽  
Carrie McAiney ◽  
Kathryn Fisher ◽  
Rebecca Ganann ◽  
Alain P. Gauthier ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Usual Care ◽  
Patient Experience ◽  
Service Use ◽  
Transitional Care ◽  
Controlled Trial ◽  
Mental Functioning ◽  
Significant Group ◽  
Secondary Outcomes

Objective To evaluate the effectiveness of a nurse-led hospital-to-home transitional care intervention versus usual care on mental functioning (primary outcome), physical functioning, depressive symptoms, anxiety, perceived social support, patient experience, and health service use costs in older adults with multimorbidity (≥ 2 comorbidities) and depressive symptoms. Design and setting Pragmatic multi-site randomized controlled trial conducted in three communities in Ontario, Canada. Participants were allocated into two groups of intervention and usual care (control). Participants 127 older adults (≥ 65 years) discharged from hospital to the community with multimorbidity and depressive symptoms. Intervention This evidence-based, patient-centred intervention consisted of individually tailored care delivery by a Registered Nurse comprising in-home visits, telephone follow-up and system navigation support over 6-months. Outcome measures The primary outcome was the change in mental functioning, from baseline to 6-months. Secondary outcomes were the change in physical functioning, depressive symptoms, anxiety, perceived social support, patient experience, and health service use cost, from baseline to 6-months. Intention-to-treat analysis was performed using ANCOVA modeling. Results Of 127 enrolled participants (63-intervention, 64-control), 85% had six or more chronic conditions. 28 participants were lost to follow-up, leaving 99 (47 -intervention, 52-control) participants for the complete case analysis. No significant group differences were seen for the baseline to six-month change in mental functioning or other secondary outcomes. Older adults in the intervention group reported receiving more information about health and social services (p = 0.03) compared with the usual care group. Conclusions Although no significant group differences were seen for the primary or secondary outcomes, the intervention resulted in improvements in one aspect of patient experience (information about health and social services). The study sample fell below the target sample (enrolled 127, targeted 216), which can account for the non-significant findings. Further research on the impact of the intervention and factors that contribute to the results is recommended. Trial registration clinicaltrials.gov Identifier: NCT03157999.

scholarly journals Using pens as an incentive for trial recruitment of older adults: An embedded randomised controlled trial

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 315 ◽  
Author(s):  
Katie Whiteside ◽  
Lydia Flett ◽  
Alex Mitchell ◽  
Caroline Fairhurst ◽  
Sarah Cockayne ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Randomised Controlled Trials ◽  
Controlled Trial ◽  
Falls Prevention ◽  
Controlled Trials ◽  
Return Rates ◽  
Link Type ◽  
Secondary Outcomes ◽  
Randomised Controlled

Background: Meeting recruitment targets for randomised controlled trials is challenging.  This trial evaluated the effectiveness of including a pen within the trial invitation pack on the recruitment of older adults into a randomised controlled trial. Methods: This trial was embedded within the Occupational Therapist Intervention Study, a falls-prevention randomised controlled trial.  Potential participants (n = 1862), who were posted an invitation pack from two General Practitioner practices, were randomised to either not receive a pen (n = 1295) or receive a pen (n = 648) with their invitation pack, using a 2:1 ratio.  The primary outcome was the likelihood of being randomised, and therefore fully recruited, to the host trial.  To be randomised to the host trial, participants had to: return a consent form and screening form; be eligible on their screening form; and return a baseline questionnaire and a monthly falls calendar.  Secondary outcomes were: the likelihood of returning (and time to return) a screening form; being eligible for the host trial; and remaining in the trial for at least 3 months. Results: The likelihood of being randomised to the host trial did not differ between the pen group (4.5%) and no pen group (4.3%; odds ratio 1.04; 95% confidence interval: 0.65 to 1.67; p = 0.86).  There were marginal differences in secondary outcomes in favour of the pen group, particularly in screening form return rates, though these differences were not statistically significant. Conclusion: Pens may not be an effective incentive for the recruitment of older adults into randomised controlled trials, though future trials are required. Registration: ISRCTN22202133; SWAT 37.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

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