Testing an in-home gait assessment tool for older adults

Two-thirds of older adults have multimorbidity (MM), or co-occurrence of two or more medical conditions. Mild cognitive impairment (CI) is found in almost 20% of older adults and can lead to further cognitive decline and increased mortality. Older adults with MM are the primary users of home health care services and are at high risk for CI development; however, there is no validated cognitive screening tool used to assess the level of CI in home health users. Given the prevalence of MM and CI in the home health setting, we conducted a review of the literature to understand this association. Due to the absence of literature on CI in home health users, the review focused on the association of MM and CI in community-dwelling older adults. Search terms included home health, older adults, cognitive impairment, and multimorbidity and were applied to the databases PubMed, CINAHL, and PsychInfo leading to eight studies eligible for review. Results show CI is associated with MM in older adults of increasing age, among minorities, and in older adults with lower levels of education. Heart disease was the most prevalent disease associated with increased CI. Sleep disorders, hypertension, arthritis, and hyperlipidemia were also significantly associated with increased CI. The presence of MM and CI was associated with increased risk for death among older adults. Further research and attention are needed regarding the use and development of a validated cognitive assessment tool for home health users to decrease adverse outcomes in the older adult population.

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Using a Performance Based Assessment Tool of Everyday IADL to Determine Driving Risk in Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.2596 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 731-731

Author(s):

Anne Dickerson

Keyword(s):

Older Adults ◽

Assessment Tool ◽

Functional Performance ◽

Cognitive Changes ◽

Suburban Communities ◽

Crash Rates ◽

Specificity And Sensitivity ◽

Driving Impairment ◽

Two Samples ◽

Performance Based Assessment

Abstract For older adults living in rural/suburban communities, driving is often their only means of transportation. Although considered safe drivers, drivers older than 70 years have higher crash rates with fatality rates amplified due to the increased frailty/fragility. However, research evidence clearly indicates that cognitive factors contribute to driving impairment in older adults. Occupational therapists, as experts in observation of functional performance, use the Assessment of Motor and Process Skills (AMPS), for measurement of performance in everyday activities using two scales (motor and process). Previously demonstrated as a sensitive tool for cognitive changes, this presentation will summarize the research outcomes between older adults with cognitive impairment (N=57+) and without (N=53) who completed a comprehensive driving evaluation. Analysis of the two samples using receiving operating curves suggests the AMPS has potentially excellent specificity and sensitivity, specifically AUC = 0.826(0.73-0.92) for motor, AUC = 0.909(0.84-0.98) for process, and AUC = 0.936(0.88-0.99) together. Part of a symposium sponsored by Transportation and Aging Interest Group.

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Feasibility and reliability of a self-administered geriatric assessment tool for Spanish-speaking Mexican older adults with cancer

Journal of Geriatric Oncology ◽

10.1016/j.jgo.2021.05.013 ◽

2021 ◽

Author(s):

Andrea Pérez-de-Acha-Chávez ◽

Carolina Gómez-Moreno ◽

José Carlos Aguilar-Velazco ◽

María Luisa Moreno-García ◽

Concepción Pérez-de-Celis-Herrero ◽

...

Keyword(s):

Older Adults ◽

Geriatric Assessment ◽

Assessment Tool ◽

Spanish Speaking

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Assessing Housing Accessibility for Older Adults in Japan: A Content Validity Study

Innovation in Aging ◽

10.1093/geroni/igaa057.357 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 108-108

Author(s):

Rumiko Tsuchiya-Ito ◽

Björn Slaug ◽

Tomonori Sano ◽

Miki Tajima ◽

Sakiko Itoh ◽

...

Keyword(s):

Older Adults ◽

Content Validity ◽

Assessment Tool ◽

Occupational Therapists ◽

Building Design ◽

Validity Study ◽

Housing Enabler ◽

Item List ◽

Existing Housing ◽

Rigorous Procedure

Abstract Scientifically validated tools to assess housing accessibility for older adults in Japan have been lacking. To address this, a rigorous procedure of adapting an existing housing assessment tool—the Housing Enabler, developed in Sweden—for valid use in Japan was conducted. The original tool was translated into the Japanese language, using established translation procedures. In the process, researchers checked the appropriateness of technical terms and adjusted specifications to be in accordance with Japanese standards. An expert panel approach was used to validate the content of the Japanese Housing Enabler. Thirteen certified occupational therapists, architects and care-managers (average experience=14.5 years) participated as experts in the content validity study. They rated each item with regard to relevance for assessing housing accessibility in Japan, on a scale from 1(=Not relevant) to 4(= Highly relevant). They suggested adjustments and additions that they found to be relevant to capture particularities of Japanese housing and building design. After individual ratings, the experts gathered for consensus discussions on suggested revisions of the item list. As a result, the number of items was substantially increased (from 161 to 283). A content validity index (CVI) was calculated for each item (i.e., the proportion of experts rating the relevance as at least 3). Using a recommended threshold of CVI ≥0.78, more than 90% of the items were considered relevant, thus supporting the content validity. However, the large amount of items might jeopardize the feasibility of the instrument. Further studies are needed to evaluate feasibility, criterion-related validity and aspects of reliability.

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Urdu Translation and Validation of Activities-Specific Balance Confidence (ABC) Scale

10.53350/pjmhs2115123505 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3505-3508

Author(s):

Noor Ul Ain Fatima ◽

Qurat-Ul- Ain ◽

Fareeha Kausar ◽

Mian Ali Raza ◽

Misbah Waris ◽

...

Keyword(s):

Older Adults ◽

Construct Validity ◽

Correlation Coefficient ◽

Content Validity ◽

Assessment Tool ◽

Test Reliability ◽

Validity And Reliability ◽

A Value ◽

Abc Scale ◽

Translation And Validation

Objective: To translate and validate the ABC-Scale in Urdu language to predict risk of fall in older population. Study design: Cross-cultural Translation and validation Place and Duration: Study was conducted in older adult community of Sialkot from March 2020 to December 2020. Methodology: Translation of ABC in Urdu was conducted by using Beaton et al guidelines. Two bilingual translators translated the original version into Urdu language step wise, correction process was followed. Then two backward translations were done by language expert. After all this process, the translated version was reviewed by the professionals and the final version was applied on 15 individuals. Its reliability and validity was tested on 60 older adults. Results: For test re test reliability, intra class correlation coefficient ICC was measured with a value of 0.984 Which shows good test re-test reliability. The internal consistency and reliability of ABC was calculated by Cronbach’s alpha for total score with a value of 0.985. Content validity was good with values of CVI ranging from 0.767 to 0.955. To test the discriminative validity, independent t test was used to show the difference between the healthy and unhealthy adults. Factor analysis of UABC showed total variance 81.277 and cumulative variance was also 81.277. To calculate construct validity of U-ABC Pearson’s correlation coefficient was used and measured as 0.558. Conclusion: It was concluded that Urdu version of UABC is a valid assessment tool for older adults with fear of fall. It has good content validity, construct validity and reliability. Keywords: activities specific balance scale, validation, Urdu translation, reliability, tool translation

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Development of the GeriatrICS, an ICF-based and person-centred assessment tool for evaluation of health-related problems in community-living older adults

International Journal of Integrated Care ◽

10.5334/ijic.s2137 ◽

2018 ◽

Vol 18 (s2) ◽

pp. 137

Author(s):

Sophie L.W. Spoorenberg ◽

Sijmen A. Reijneveld ◽

Ronald J. Uittenbroek ◽

Margot Jager ◽

Hubertus P.H. Kremer ◽

...

Keyword(s):

Older Adults ◽

Assessment Tool ◽

Community Living ◽

Health Related

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The Development and Validity of the Salford Gait Tool: An Observation-Based Clinical Gait Assessment Tool

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2006.12.028 ◽

2007 ◽

Vol 88 (3) ◽

pp. 321-327 ◽

Cited By ~ 21

Author(s):

Brigitte Toro ◽

Christopher J. Nester ◽

Pauline C. Farren

Keyword(s):

Assessment Tool ◽

Gait Assessment ◽

Clinical Gait Assessment

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Psychological Assessment and Treatment of Older Adults

10.1027/00571-000 ◽

2021 ◽

Keyword(s):

Mental Health ◽

Older Adults ◽

Mental Health Professionals ◽

Psychological Assessment ◽

Health Professionals ◽

Assessment Tool ◽

Skill Assessment ◽

Case Examples ◽

Assessment And Treatment ◽

Comprehensive Text

Mental health practitioners are encountering an ever-growing number of older adults and so an up-to-date and comprehensive text addressing the special considerations that arise in the psychological assessment and treatment of this population is vital. This accessible handbook does just that by introducing the key topics that psychologists and other health professionals face when working with older adults. Each area is introduced and then the special considerations for older adults are explored, including specific ethical and healthcare system issues. The use of case examples brings the topics further to life. An important feature of the book is the interweaving of diversity issues (culture, race, sexuality, etc.) within the text to lend an inclusive, contemporary insight into these important practice components. The Pikes Peak Geropsychology Knowledge and Skill Assessment Tool is included in an appendix so readers can test their knowledge, which will be helpful for those aiming for board certification in geropsychology (ABGERO). This an ideal text for mental health professionals transitioning to work with older clients, for those wanting to improve their knowledge for their regular practice, and for trainees or young clinicians just starting out.

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Fulmer SPICES An Overall Assessment Tool of Older Adults

Journal of Gerontological Nursing ◽

10.3928/0098-9134-19981201-03 ◽

1998 ◽

Vol 24 (12) ◽

pp. 3-3 ◽

Cited By ~ 5

Author(s):

Meredith Wallace ◽

Terry Fulmer

Keyword(s):

Older Adults ◽

Assessment Tool

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Short Assessment of Health Literacy for Portuguese-speaking Adults

Revista de Saúde Pública ◽

10.1590/s0034-89102012005000047 ◽

2012 ◽

Vol 46 (4) ◽

pp. 702-711 ◽

Cited By ~ 48

Author(s):

Daniel Apolinario ◽

Rafaela de Castro Oliveira Pereira Braga ◽

Regina Miksian Magaldi ◽

Alexandre Leopold Busse ◽

Flavia Campora ◽

...

Keyword(s):

Older Adults ◽

Health Literacy ◽

Construct Validity ◽

Psychometric Properties ◽

Assessment Tool ◽

Characteristic Curve ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Convenience Sample ◽

Inadequate Health Literacy

OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.

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