scholarly journals Spanish Validation of the User Reported Measure of Care Coordination Questionnaire for Older People with Complex, Chronic Conditions

2020 ◽  
Author(s):  
Ester Risco ◽  
Gloria Sauch Valmaña ◽  
Anna Albero ◽  
Nihan Acar-Denizli ◽  
Adela Zabalegui ◽  
...  
Keyword(s):  
Older People ◽  
Care Coordination ◽  
Chronic Conditions ◽  
Chronic Care ◽  
Intraclass Correlation ◽  
Well Being ◽  
Urgent Care ◽  
Care Provision ◽  
Complex Chronic Conditions ◽  
Spanish Validation

Introduction Older people with complex, chronic conditions often receive insufficient or inefficient care provision. And few instruments are able to measure their perception on care provision. The "User Reported Measure of Care Coordination" instrument has been satisfactorily used to evaluate chronic care provision and integration. The aim of this study is to validate this instrument into Spanish. Methods The questionnaire was adapted and validate in two phases: translation and cultural adaptation of the questionnaire, and psychometric property measurement. Study population were chronic care conditions patients. Results A total of 332 participants completed test re-test as part of the questionnaire validation process. The final version of the questionnaire had 6 domains: Health and Well-being (D1), Health day to day (D2), Social Services (D3), Planned Care (D4), Urgent Care (D5) and Hospital Care (D6). Cronbach's alpha for the overall questionnaire was 0.86, indicating good internal consistency. When analysing each domain, only Planned Care (D4) and Urgent Care (D5) had Cronbach’s Alphas slightly lower than 0.7, although this could be related to the low number of items in each domain. A good temporal stability was observed for the distinct subscales and items, with intraclass correlation coefficients varying from 0.412 to 0.929 (p < 0.05). Conclusion The adapted version of the “User Reported Measure of Care Coordination” into Spanish proved to be a practical tool for use in our daily practice and an efficient instrument for assessment of care coordination in chronic, complex conditions in older people across services and levels of care.

scholarly journals Spanish Validation of the “User Reported Measure of Care Coordination” Questionnaire for Older People with Complex, Chronic Conditions

2020 ◽  
Vol 17 (18) ◽  
pp. 6608 ◽  
Author(s):  
Ester Risco ◽  
Glòria Sauch ◽  
Anna Albero ◽  
Nihan Acar-Denizli ◽  
Adelaida Zabalegui ◽  
...  
Keyword(s):  
Older People ◽  
Care Coordination ◽  
Chronic Conditions ◽  
Chronic Care ◽  
Intraclass Correlation ◽  
Well Being ◽  
Urgent Care ◽  
Care Provision ◽  
Complex Chronic Conditions ◽  
Spanish Validation

Introduction: Older people with complex, chronic conditions often receive insufficient or inefficient care provision, and few instruments are able to measure their perception of care provision. The “User Reported Measure of Care Coordination” instrument has been satisfactorily used to evaluate chronic care provision and integration. The aim of this study is to validate this instrument in Spanish. Methods: The questionnaire was adapted and validated in two phases: translation and cultural adaptation of the questionnaire and psychometric property measurement. Study population were chronic care conditions patients. Results: A total of 332 participants completed test re-test as part of the questionnaire validation process. The final version of the questionnaire had 6 domains: Health and Well-being (D1), Health day to day (D2), Social Services (D3), Planned Care (D4), Urgent Care (D5), and Hospital Care (D6). Cronbach’s alpha for the overall questionnaire was 0.86, indicating good internal consistency. When analyzing each domain, only Planned Care (D4) and Urgent Care (D5) had Cronbach’s Alphas slightly lower than 0.7, although this could be related to the low number of items in each domain. A good temporal stability was observed for the distinct subscales and items, with intraclass correlation coefficients varying from 0.412 to 0.929 (p < 0.05). Conclusion: The adapted version of the “User Reported Measure of Care Coordination” into Spanish proved to be a practical tool for use in our daily practice and an efficient instrument for assessment of care coordination in chronic, complex conditions in older people across services and levels of care.

Outpatient Follow-up Care After Hospital Discharge of Children With Complex Chronic Conditions at a Rural Tertiary Care Hospital

2021 ◽  
pp. 000992282110472
Author(s):  
Andrew Brown ◽  
Mary Quaile ◽  
Hannah Morris ◽  
Dmitry Tumin ◽  
Clayten L. Parker ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Discharge ◽  
Care Coordination ◽  
Chronic Conditions ◽  
Tertiary Care ◽  
Care Hospital ◽  
Icu Admission ◽  
Complex Chronic Conditions

Objective To determine factors associated with completion of recommended outpatient follow-up visits in children with complex chronic conditions (CCCs) following hospital discharge. Methods We retrospectively identified children aged 1 to 17 years diagnosed with a CCC who were discharged from our rural tertiary care children’s hospital between 2017 and 2018 with a diagnosis meeting published CCC criteria. Patients discharged from the neonatal intensive care unit and patients enrolled in a care coordination program for technology-dependent children were excluded. Results Of 113 eligible patients, 77 (68%) had outpatient follow-up consistent with discharge instructions. Intensive care unit (ICU) admission ( P = .020) and prolonged length of stay ( P = .004) were associated with decreased likelihood of completing recommended follow-up. Conclusions Among children with CCCs who were not already enrolled in a care coordination program, ICU admission was associated with increased risk of not completing recommended outpatient follow-up. This population could be targeted for expanded care coordination efforts.

scholarly journals Water, Sanitation and the Risk of Chronic Conditions among Older Persons in Ghana: Results from the WHO Study on Global AGEing and adult health (SAGE) Wave 2

2020 ◽  
Author(s):  
Razak M Gyasi ◽  
Shiellah N. Simiyu ◽  
Moussa Bagayoko
Keyword(s):  
Older People ◽  
Chronic Conditions ◽  
Later Life ◽  
Well Being ◽  
Adult Health ◽  
Significant Interaction Effect ◽  
Water And Sanitation ◽  
Logistic Regression Models ◽  
Sanitation Services ◽  
Global Ageing

Abstract Objective Water and sanitation have been related to the health of populations, yet, the effects of these factors on the occurrence of chronic conditions (CC) in later life have been least explored. This study examines the association of CC with water and sanitation among older Ghanaians and whether the associations are moderated by gender and residence. Methods Data from the WHO-SAGE Wave 2 comprising of 4735 adults aged ≥ 50 years were analyzed in this study. The primary outcome was CC and the exposures included sources of water, sanitation facilities and the sharing of sanitation facilities. Generalized logistic regression models estimated the effects of water and sanitation indicators on the occurrence of CC. Results Overall, 18.8% of the sample reported at least one CC. Compared to men and rural residents, women and urban residents respectively were more likely to report CC (p < 0.001). After full adjustments, logistic regressions showed that the use of unimproved sanitation (OR = 1.732, CI: 1.377–5.418) and sharing of sanitation facilities (OR = 1.624, CI: 1.095–1.320) were associated with higher odds of CC. However, the use of water did not reach significance (p = 0.125). We found a significant interaction effect for type of toilet × gender (OR = 3.498, CI: 1.744–16.442), source of water × residence (OR = 5.935, CI: 1.320-26.685) and type of toilet × residence (OR = 1.998, CI: 1.462–8.642). Conclusions The use of unimproved sanitation facilities and the sharing of sanitation facilities are associated with the occurrence of CC among older people. Policy and public health interventions targeted at improving the health and well-being of older people should conspicuously include improving access to sanitation services.

scholarly journals Care Coordination Program for Children With Complex Chronic Conditions Discharged From a Rural Tertiary-Care Academic Medical Center

2020 ◽  
Vol 10 (8) ◽  
pp. 687-693
Author(s):  
Clayten L. Parker ◽  
Bennett Wall ◽  
Dmitry Tumin ◽  
Rhonda Stanley ◽  
Lana Warren ◽  
...  
Keyword(s):  
Care Coordination ◽  
Chronic Conditions ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Complex Chronic Conditions ◽  
Academic Medical

Providing Care Is Self-Care: Towards Valuing Older People’s Care Provision in Global Economies

2020 ◽  
Author(s):  
Samia C Akhter-Khan
Keyword(s):  
Older People ◽  
Successful Aging ◽  
Social Connectedness ◽  
Healthy Aging ◽  
Well Being ◽  
Care Provision ◽  
Theoretical Understanding ◽  
Diverse Economies ◽  
Main Challenge ◽  
Future Work

Abstract Older people’s care provision is structurally undervalued, posing a threat to social connectedness and healthy aging. Thus, the question arises of how older people’s care provision can be valued in diverse economies. By addressing this question, this article proposes a novel perspective by shedding light on the value of contributions older people provide to society, which in turn promote their own well-being. By highlighting evolutionary and proximal motives for older people to provide care, this article advances the theoretical understanding of the benefits of caregiving in the global aging context, going beyond previous successful aging approaches. These new directions aim to center older people’s needs while accounting for their care provisions to fruitfully inform policymaking. Finally, the main challenge remaining for future work is to create adequate and valuable opportunities for older people to provide care as Homines curans.

scholarly journals Healthcare Utilization of Complex Chronically Ill Children Managed by a Telehealth-Based Team

2021 ◽  
Vol 9 ◽  
Author(s):  
Lindsay Braun ◽  
Martina Steurer ◽  
Duncan Henry
Keyword(s):  
Risk Factors ◽  
Healthcare Utilization ◽  
Resource Utilization ◽  
Care Coordination ◽  
Chronic Conditions ◽  
Pediatric Population ◽  
Chronically Ill ◽  
Critically Ill Children ◽  
Complex Chronic Conditions ◽  
Hospital Days

Objectives: Medical advances have improved survival of critically ill children, increasing the number that have substantial ongoing care needs. The first aim of this study was to compare healthcare utilization of children with complex chronic conditions across an extensive geographic area managed by a predominantly telehealth-based team (FamiLy InteGrated Healthcare Transitions—FLIGHT) compared to matched historical controls. The second aim was to identify risk factors for healthcare utilization within the FLIGHT population.Methods: We performed a retrospective cohort study of all patients enrolled in the care management team. First, we compared them to age- and technology-based matched historic controls across medical resource-utilization outcomes. Second, we used univariable and multivariable linear regression models to identify risk factors for resource utilization within the FLIGHT population.Results: Sixty-four FLIGHT patients were included, with 34 able to be matched with historic controls. FLIGHT patients had significantly fewer hospital days per year (13.6 vs. 30.3 days, p = 0.02) and shorter admissions (6.0 vs. 17.3 days, p = 0.02) compared to controls. Within the telehealth managed population, increased number of technologies was associated with more admissions per year (coefficient 0.90, CI 0.05 – 1.75) and hospital days per year (16.83, CI 1.76 – 31.90), although increased number of complex chronic conditions was not associated with an increase in utilization.Conclusion: A telehealth-based care coordination team was able to significantly decrease some metrics of healthcare utilization in a complex pediatric population. Future study is warranted into utilization of telemedicine for care coordination programs caring for children with medical complexity.

CODEM Instrument

GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel
Keyword(s):  
Convergent Validity ◽  
Interrater Reliability ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Well Being ◽  
Communication Behavior ◽  
People With Dementia ◽  
Pearson's R ◽  
Pearson’S R

Communication and communication behaviors in situational contexts are essential conditions for well-being and quality of life in people with dementia. Measuring methods, however, are limited. The CODEM instrument, a standardized observational communication behavior assessment tool, was developed and evaluated on the basis of the current state of research in dementia care and social-communicative behavior. Initially, interrater reliability was examined by means of videoratings (N = 10 people with dementia). Thereupon, six caregivers in six German nursing homes observed 69 residents suffering from dementia and used CODEM to rate their communication behavior. The interrater reliability of CODEM was excellent (mean κ = .79; intraclass correlation = .91). Statistical analysis indicated that CODEM had excellent internal consistency (Cronbach’s α = .95). CODEM also showed excellent convergent validity (Pearson’s R = .88) as well as discriminant validity (Pearson’s R = .63). Confirmatory factor analysis verified the two-factor solution of verbal/content aspects and nonverbal/relationship aspects. With regard to the severity of the disease, the content and relational aspects of communication exhibited different trends. CODEM proved to be a reliable, valid, and sensitive assessment tool for examining communication behavior in the field of dementia. CODEM also provides researchers a feasible examination tool for measuring effects of psychosocial intervention studies that strive to improve communication behavior and well-being in dementia.

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