Application of the Rasch Model to Measure Five Dimensions of Wellness in Community-Dwelling Older Adults

2014 ◽  
Vol 22 (2) ◽  
pp. 268-290 ◽  
Author(s):  
Kelley Strout ◽  
Elizabeth P. Howard
Keyword(s):  
Older Adults ◽  
Rasch Model ◽  
Assessment Tool ◽  
High Reliability ◽  
Community Dwelling ◽  
Assessment System ◽  
Ongoing Research ◽  
Five Dimensions ◽  
Community Dwelling Older Adults ◽  
The Rasch Model

Background and Purpose: Nurse researchers and practicing nurses need reliable and valid instruments to measure key clinical concepts. The purpose of this research was to develop an innovative method to measure dimensions of wellness among older adults. Method: A sample of 5,604 community-dwelling older adults was drawn from members of the COLLAGE consortium. The Wellness Assessment Tool (WEL) of the COLLAGE assessment system provided the data used to create the scores. Application of the Rasch analysis and Masters’ partial credit method resulted in logit values for each item within the five dimensions of wellness as well as logit values for each person in the sample. Results: The items fit the Rasch model, and the composite scores for each dimension demonstrated high reliability (1.00). The person reliability was low: social (.19), intellectual (.33), physical (.29), emotional (.20), and spiritual (.29). The small number of items within each dimension and the homogenous sample appear to have contributed to this low reliability. Conclusion: Ongoing research using multidimensional tools to measure dimensions of wellness among older adults is needed to advance wellness science and wellness promotion in nursing practice.

Psychometrics of the Home Safety Self-Assessment Tool (HSSAT) to Prevent Falls in Community-Dwelling Older Adults

2014 ◽  
Vol 68 (6) ◽  
pp. 711 ◽  
Author(s):  
Machiko R. Tomita ◽  
Sumandeep Saharan ◽  
Sheela Rajendran ◽  
Susan M. Nochajski ◽  
Jo A. Schweitzer
Keyword(s):  
Older Adults ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Home Safety ◽  
Self Assessment ◽  
Community Dwelling Older Adults

Comparison of Self-Report of Dysphagia Using the Eating Assessment Tool and the Sydney Swallowing Questionnaire in Community Dwelling Older Adults

2021 ◽  
pp. 1-7
Author(s):  
Aarthi Madhavan ◽  
Nicole Shuman ◽  
Claire Snyder ◽  
Nicole Etter
Keyword(s):  
Older Adults ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Self Report ◽  
Screening Tools ◽  
Medical Diagnoses ◽  
Age Related ◽  
Swallowing Problems ◽  
Patient Reported ◽  
Community Dwelling Older Adults

Purpose Patient-reported outcomes (PROs) are an important feature in clinical evaluation of swallowing. The Eating Assessment Tool (EAT-10) and the Sydney Swallow Questionnaire (SSQ) are two validated dysphagia PROs commonly used in healthy older adult populations as screening tools for swallowing problems. The purpose of this study is to compare the consistency of the EAT-10 and SSQ scores for self-reported swallowing difficulties in a group of community-dwelling older adults (CDOA) completing both questionnaires. Method A total of 316 individuals over the age of 60 years completed the EAT-10, SSQ, and provided demographic data, including a self-report of any medical diagnoses. Participants were excluded if they had any diagnoses known to cause dysphagia. Questionnaire responses were analyzed for frequencies of responses across all participants. Results Seventy-five participants were identified as having dysphagia by the EAT-10 (23.7%), while 30 participants were identified by the SSQ (9.49%). When comparing the results of the two assessments, the scales agreed on 289 out of 316 participants (91%). There was a disagreement on the results in 27 of the 316 participants, with 26 of these self-reporting dysphagia symptoms on the EAT-10 but not on the SSQ. Conclusions Two commonly used dysphagia PROs resulted in different prevalence rates of self-reported dysphagia in a group of CDOA. CDOAs may need questionnaires specifically validated for them with special consideration for specific age-related risk factors, to ensure accurate early identification.

scholarly journals Psychological wellbeing and resilience among Egyptian community-dwelling older adults

2019 ◽  
Vol 9 (9) ◽  
pp. 55
Author(s):  
Amira Y. Sharaf ◽  
Hanaa S. Ibrahim ◽  
Ola A. Lachine
Keyword(s):  
Older Adults ◽  
Personal Growth ◽  
Purpose In Life ◽  
Community Dwelling ◽  
Psychological Wellbeing ◽  
Potential Contribution ◽  
Strongly Correlated ◽  
Five Dimensions ◽  
Confounding Variables ◽  
Community Dwelling Older Adults

Background: Aging represents a time of significant challenges as well as opportunities for growth. Resilience helps older adults adjust to ongoing demands of aging. Little is known, however, about individual factors that bolster resilience. This study examines the potential contribution of psychological wellbeing in building resilience in older adults.Methods: A sample of 150 community-dwelling older adults was recruited from elder clubs in Alexandria, Egypt. Participant interviews included measures of resilience, psychological wellbeing, as well as measures of physical and psycho-social functioning.Results: Psychological wellbeing and resilience were positively and strongly correlated (r = .70, p < .001). Resilience was significantly associated with five dimensions of psychological wellbeing: mastery of environment (r = .54, p < .001), self-acceptance (r = .53, p < .001), personal growth, and purpose in life (both r = .49, p < .001), and autonomy (r = .36, p < .001). A weak, but significant association was found with the sixth dimension, positive relationship with others (r = .29, p < .001). Adjusting for potential confounding variables, psychological wellbeing remained significantly associated with resilience (β = .59, p < .001). Mastery of environment (β = .23, p < .01), autonomy (β = .20, p < .01), personal growth (β = .19, p < .01), and purpose in life (β = .18, p < .01), were independently influenced resilience among older adults.Conclusions: The findings highlight the adaptive function of psychological wellbeing in boosting resilience among older adults. Nursing strategies to optimize resilience and psychological wellbeing among older adults are delineated.

scholarly journals Frailty and Home Confinement during the COVID-19 Pandemic: Results of a Pre-Post Intervention, Single Arm, Prospective and Longitudinal Pilot Study

2021 ◽  
pp. 1-2
Author(s):  
C.P. Launay ◽  
L. Cooper-Brown ◽  
V. Ivensky ◽  
O. Beauchet
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Social Care ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Phone Call ◽  
Care Providers ◽  
Care Plans ◽  
Health And Social Care ◽  
Community Dwelling Older Adults

The COVID-19 pandemic had severe consequences for older adults. First, COVID-19 was associated with more severe medical complications and an increased mortality rate in older compared to younger adults (1). Second, home confinement, an intervention that reduces the spread of COVID-19, was associated with adverse consequences for the older community-dwelling population (2). It broke down social networks and the continuum of primary care, resulting in medication or food delivery issues, psychological fallout and increasing frailty risks (3). Frailty assessment provides insight into the degree of older community dwellers’ health status vulnerability, social isolation and adverse health event risks, and it should be assessed before interventions are proposed (3). We designed a short assessment tool known as “Evaluation SOcio-GERiatrique” (ESOGER) for Montreal’s homebound community-dwelling older adults (3). In a phone call, ESOGER briefly assessed frailty and social isolation and provided recommendations, facilitating contact with health or social care providers who initiate appropriate health and social care plans (3). This study aims to examine the longitudinal effects of ESOGER on frailty and social isolation in Montreal’s homebound community-dwelling older adults.

scholarly journals Epidemiology of at-risk alcohol use and associated comorbidities of interest among community-dwelling older adults: a protocol for a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e035481 ◽  
Author(s):  
Maria Latanioti ◽  
Jean-Pierre Schuster ◽  
Joelle Rosselet Amoussou ◽  
Marie-Pierre F. Strippoli ◽  
Armin von Gunten ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Assessment Tool ◽  
The Elderly ◽  
Community Dwelling ◽  
Cochrane Library ◽  
Ethical Approval ◽  
Community Dwelling Older Adults

IntroductionThere is little epidemiological evidence and knowledge about at-risk alcohol use among community-dwelling older adults and their chronic and acute alcohol-related comorbidities of interest. This systematic review will summarise and examine relevant studies about the epidemiology of at-risk alcohol use and associated comorbidities of interest in this population.MethodsWe will search the following databases, without language or date restrictions, from inception to 31 August 2019: Embase.com, Medline Ovid SP, Pubmed (NOT medline[sb]), CINAHL EBSCO, PsycINFO Ovid SP, Central—Cochrane Library Wiley and Web of Science (Core Collection). Search strategies will be developed in collaboration with a librarian. We will use predefined search terms for alcoholism, epidemiology, the elderly, living place and comorbidities of interest, as well as terms related to the identification of “measurements”, “tools” or “instruments” for measuring harm from alcohol use. At-risk status will be determined by the amount of alcohol consumed and any comorbidities of interest associated with at-risk alcohol use, with the latter being documented separately or using an assessment tool for at-risk drinking. We will also examine the bibliographies of all the relevant articles found and search for unpublished studies. We will consider publications in all languages.Ethics and disseminationNo ethical approval is necessary. Results will be presented in national and international conferences on addiction and published in a peer-reviewed journal.PROSPERO registration numberCRD42018099965.

scholarly journals DEVELOPMENT OF A TOOL TO EVALUATE FACE-NAME LEARNING IN PORTUGUESE SPEAKERS

2021 ◽  
Author(s):  
Jaqueline Félix ◽  
João Refundini ◽  
Maria Carthery- Goulart ◽  
Katerina Lukasova ◽  
Raquel Fornari
Keyword(s):  
Older Adults ◽  
Free Recall ◽  
Assessment Tool ◽  
Community Dwelling ◽  
Memory Assessment ◽  
Sample Test ◽  
First Results ◽  
The Face ◽  
Cutoff Scores ◽  
Community Dwelling Older Adults

Background: Learning and retrieving proper names is one of the most common complaints among older adults. However, this aspect is not commonly assessed in this population. Objective: To develop an anterograde episodic memory assessment tool that measures the ability to learn, retain and retrieve face-name associations and test its application. Methods: The face-name association (FNAT) has 2 versions (A and B) and involves learning, free recall and recognition of 12 pairs. FNAT was applied to 86 community dwelling older adults, aged 69(±6), schooling 13(±3). (64 did version A, 57 B and 35 AB). Second test (AB) occurred 2-3 months after the first. Results: In both versions, recognition scores were higher than learning and free recall respectively (version A 47±24%, 34±25%, 76±20%; version B 51±26%, 41±26%, 74±24%). In the subgroup that performed both versions, no significant differences were found between the three subtests. Conclusion: FNAT was applied successfully in our sample. Test and retest effects were not observed and the two versions demonstrated an equivalent level of difficulty. Further studies are needed to explore cutoff scores according to aging and education.

The brief cognitive assessment tool (BCAT): cross-validation in a community dwelling older adult sample

2014 ◽  
Vol 27 (2) ◽  
pp. 243-250 ◽  
Author(s):  
Elizabeth E. MacDougall ◽  
William E. Mansbach ◽  
Kristen Clark ◽  
Ryan A. Mace
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Roc Curve ◽  
Cognitive Assessment ◽  
Assessment Tool ◽  
Executive Dysfunction ◽  
Community Dwelling ◽  
Cut Score ◽  
Brief Cognitive Assessment ◽  
Community Dwelling Older Adults

ABSTRACTBackground:Cognitive impairment is underrecognized and misdiagnosed among community-dwelling older adults. At present, there is no consensus about which cognitive screening tool represents the “gold standard.” However, one tool that shows promise is the Brief Cognitive Assessment Tool (BCAT), which was originally validated in an assisted living sample and contains a multi-level memory component (e.g. word lists and story recall items) and complex executive functions features (e.g. judgment, set-shifting, and problem-solving).Methods:The present study cross-validated the BCAT in a sample of 75 community-dwelling older adults. Participants completed a short battery of several individually administered cognitive tests, including the BCAT and the Montreal Cognitive Assessment (MoCA). Using a very conservative MoCA cut score of <26, the base rate of cognitive impairment in this sample was 35%.Results:Adequate internal consistency and strong evidence of construct validity were found. A receiver operating characteristic (ROC) curve was calculated from sensitivity and 1-specificity values for the classification of cognitively impaired versus cognitively unimpaired. The area under the ROC curve (AUC) for the BCAT was .90,p< 0.001, 95% CI [0.83, 0.97]. A BCAT cut-score of 45 (scores below 45 suggesting cognitive impairment) resulted in the best balance between sensitivity (0.81) and specificity (0.80).Conclusions:A BCAT cut-score can be used for identifying persons to be referred to appropriate healthcare professionals for more comprehensive cognitive assessment. In addition, guidelines are provided for clinicians to interpret separate BCAT memory and executive dysfunction component scores.

Predictive ability of the Computer-Based Cognitive Assessment Tool for mild cognitive impairment in community-dwelling older adults: a 2-Year Longitudinal Study (Preprint)

2020 ◽  
Author(s):  
Junta Takahashi ◽  
Hisashi Kawai ◽  
Hiroyuki Suzuki ◽  
Yoshinori Fujiwara ◽  
Yutaka Watanabe ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Assessment Tool ◽  
Predictive Ability ◽  
Community Dwelling ◽  
Z Score ◽  
Roc Curve Analysis ◽  
Computer Based ◽  
Community Dwelling Older Adults

BACKGROUND The Computer-Based Cognitive Assessment Tool (CompBased-CAT) has been reported to have concurrent validity with the Mini-Mental State Examination (MMSE) and discriminating ability for dementia, but it was not clear whether it could predict incidence of cognitive impairment. OBJECTIVE This study examined the ability of the CompBased-CAT to predict mild cognitive impairment (MCI) after 2 years among community-dwelling older adults. METHODS A longitudinal study was conducted, involving 455 older adults (median age 72 years, range 65-89 years, 62.0% female) dwelling in communities. Cognitive function was assessed using the MMSE. MCI was defined as an MMSE score <27. The CompBased-CAT was conducted at baseline, and each sub-test score was converted to a Z-score, the sum of which became the total Z-score. Receiver Operating Characteristic (ROC) curve analysis was performed to determine the predictive ability of the CompBased-CAT for incidence of MCI. Logistic regression analysis was conducted with the dependent variable (the incidence of MCI), and with the total Z-score as the independent variable, adjusted for all other covariates. RESULTS After 2 years, 32 (7.0%) of participants developed MCI. ROC curve analysis showed an area under the curve of 0.79, a sensitivity of 0.76, and a specificity of 0.75. Logistic regression analysis showed that total Z-score was significantly associated with prevention of MCI. The odds ratio (OR) was 1.34 (95% confidence interval 1.18-1.52, p<.001). CONCLUSIONS The present study showed that CompBased-CAT has sufficient predictive ability for MCI 2 years later and that it is useful for identifying dementia at an early stage.

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