The CS-30 Test is a Useful Assessment Tool for Predicting Falls in Community-Dwelling Elderly People

Food literacy refers to the knowledge, skills, and attitudes required for individuals to choose foods that promote health. As the rate of diet-related diseases increases, food literacy is becoming more important. However, there are no tools available to evaluate food literacy among the Korean elderly. We derived 547 questions from a literature review and, after three rounds of Delphi surveys, selected 33 preliminary questions. We calculated the content validity ratio of the questions and applied a face validity procedure. We then selected 32 questions, assessed their validity, and distributed them as a questionnaire to 205 elderly people. We then conducted exploratory factor analysis (EFA) to determine the validity of the questionnaire and used an internal consistency index (Cronbach’s α coefficient) to determine reliability. Based on the factor analysis, 13 questions were selected, distributed among three factors, and evaluated using the Kaiser–Meyer–Olkin (KMO) and Bartlett sphericity tests. The factor analysis showed that KMO was 0.872, which is a highly acceptable score, and the Bartlett sphericity test was χ2 = 1,374.69 at p = 0.00. The food literacy questionnaire developed in this study will likely be helpful for improving the healthcare of elderly people.

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A Modified Fall Risk Assessment Tool That Is Specific to Physical Function Predicts Falls in Community-Dwelling Elderly People

Journal of Geriatric Physical Therapy ◽

10.1519/jpt.0b013e3182abe7cb ◽

2014 ◽

Vol 37 (4) ◽

pp. 159-165 ◽

Cited By ~ 8

Author(s):

Tatsuya Hirase ◽

Shigeru Inokuchi ◽

Nobuou Matsusaka ◽

Kazumi Nakahara ◽

Minoru Okita

Keyword(s):

Risk Assessment ◽

Physical Function ◽

Elderly People ◽

Fall Risk ◽

Assessment Tool ◽

Community Dwelling ◽

Risk Assessment Tool ◽

Fall Risk Assessment

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Differences between the Sexes in the Relationship between Chronic Pain, Fatigue, and QuickDASH among Community-Dwelling Elderly People in Japan

Healthcare ◽

10.3390/healthcare9060630 ◽

2021 ◽

Vol 9 (6) ◽

pp. 630

Author(s):

Satoshi Shimo ◽

Yuta Sakamoto ◽

Takashi Amari ◽

Masaaki Chino ◽

Rie Sakamoto ◽

...

Keyword(s):

Chronic Pain ◽

Elderly People ◽

Physical Disability ◽

The Elderly ◽

Daily Basis ◽

Community Dwelling ◽

Negative Effects ◽

The Relationship ◽

Elderly Healthcare ◽

Disability Research

Chronic pain and fatigue have negative effects on the health, ADL, work, and hobbies of the elderly. As the proportion of people 65 years of age and older in the population increases, chronic pain and disability research regarding this group is receiving more consideration. However, little empirical evidence of the association between chronic pain, fatigue, and physical disability between the sexes is available. This study investigated the association between chronic pain, fatigue, and instrumental activities of daily living among community-dwelling elderly people by sex in Japan. Concerning the presence of chronic pain, 61% of males and 78% of females reported chronic pain, indicating that many elderly people living in the community suffer from chronic pain and fatigue on a daily basis. The number of sites of chronic pain was higher in females than in males (p = 0.016), with more chronic pain in the knees (p < 0.001) and upper arms (p = 0.014). Regarding chronic pain, males showed a higher correlation with QuickDASH-DS (rs = 0.433, p = 0.017) and QuickDASH-SM (rs = 0.643, p = 0.018) than females. Furthermore, fatigue also showed a higher correlation with QuickDASH-W (rs = 0.531, p = 0.003) in males than in females. These results indicate that the association between chronic pain, fatigue, and QuickDASH differed between the sexes among community-dwelling elderly people in Japan. A better understanding of the risk factors for elderly chronic pain and fatigue among sexes will facilitate the development of elderly healthcare welfare and policies.

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Exploring the Association between Multimorbidity and Cognitive Impairment in Older Adults Living in the Community: A Review of the Literature

Home Health Care Management & Practice ◽

10.1177/10848223211030468 ◽

2021 ◽

pp. 108482232110304

Author(s):

Grace F. Wittenberg ◽

Michelle A. McKay ◽

Melissa O’Connor

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Assessment Tool ◽

Adult Population ◽

Home Health ◽

Adverse Outcomes ◽

Community Dwelling ◽

Cognitive Screening ◽

Review Of The Literature ◽

Increased Risk

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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Attitudes Toward Sexual Behaviors in Long-Term Care: Development of an Assessment Tool

Innovation in Aging ◽

10.1093/geroni/igaa057.2031 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 602-603

Author(s):

Rachael Spalding ◽

Emma Katz ◽

Barry Edelstein

Keyword(s):

Sexual Behaviors ◽

Long Term Care ◽

Assessment Tool ◽

Qualitative Interviews ◽

Family Members ◽

Community Dwelling ◽

Term Care ◽

Care Development

Abstract Most older adults living in long-term care settings (LTCs) indicate that expressing their sexuality is important to them (Doll, 2013). Little is known about the general public’s attitudes towards sexual behaviors in LTCs. Attitudes of LTC residents’ family members are particularly important, as family members are most likely to visit residents and to care about their quality of life. Family members’ attitudes could in turn inform facility policies and management. We will present preliminary data from a series of qualitative interviews with community-dwelling adults regarding their attitudes. We will discuss how these data are being used to inform current work on a measure of attitudes toward sexual behavior in LTCs.

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Interactive effect between depression and chronic medical conditions on fall risk in community-dwelling elders

International Psychogeriatrics ◽

10.1017/s1041610212000646 ◽

2012 ◽

Vol 24 (9) ◽

pp. 1409-1418 ◽

Cited By ~ 15

Author(s):

Senyeong Kao ◽

Yun-Chang Wang ◽

Ya-Mei Tzeng ◽

Chang-Kuo Liang ◽

Fu-Gong Lin

Keyword(s):

Elderly People ◽

Fall Risk ◽

Medical Condition ◽

Reference Group ◽

Interactive Effect ◽

Depression Scale ◽

Community Dwelling ◽

Medical Conditions ◽

Cross Sectional ◽

Depression Status

ABSTRACTBackground: It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people.Methods: A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as “fallers.” The Geriatric Depression Scale-15 was used as a screening instrument for depression status.Results: Based on a multivariate logistic regression and stratification analysis, depression was found to interact with various medical conditions on fall risk. In comparison with the non-depressive reference group, a six-fold fall risk was discernible among depressed elders with polypharmacy, while a five-fold risk was found among depressive elders using ancillary devices, along with a four-fold risk among depressive elders with diabetes or cardiovascular disease. Finally, arthritis was found to produce a nine-fold risk of falls among such populations.Conclusions: These findings suggest that greater emphasis should be placed on the integration of depression screening as an element of fall risk assessment in elderly people.

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