Effectiveness of outpatient geriatric assessment programs: exploring caregiver needs, goals, and outcomes.
Journal - Journal of gerontological nursing (United States )
In this study, the authors examined the goals and outcomes of 141 caregivers of older adults with cognitive impairment who attended a comprehensive geriatric assessment program (CGA). The vast majority of caregivers expressed at least one assessment goal, suggesting that the concept was relevant to them. Most caregiver goals focused on patient needs, with only 10% expressing goals specifically related to their own coping needs. At follow up, more than two-thirds of caregiver goals were attained. The findings confirm the great potential of CGA programs in promoting positive outcomes and point to the opportunities for nurses to improve the process of care.
|ISSN : ||0098-9134|
|Mesh Heading : ||Aged Caregivers Geriatric Nursing Humans|
|Mesh Heading Relevant : ||Day Care Geriatric Assessment psychology|
Adherence to recommendations of community-based comprehensive geriatric assessment programmes.
Journal - Age and ageing (ENGLAND )
BACKGROUND: non-adherence to the recommendations of short-term community-based consultative comprehensive geriatric assessment programmes is a threat to the effectiveness of these programmes. OBJECTIVE: to synthesize the literature on patient and physician adherence to recommendations of community-based comprehensive geriatric assessment programmes. METHOD: I identified papers cited by an English language literature search of MEDLINE, Health Star and CINAHL databases from January 1980 to November 1999. This search was supplemented with literature identified from the reference sections of these publications. RESULTS: patient adherence rates ranged from 46 to 76%, which approximates to the rates for the consulting physician adherence (49-79%). I identified many characteristics of patient, treatment, care provider and clinical setting which influenced adherence. Understanding these factors has led to the development of adherence-enhancing strategies. However, without systematic evaluations it is difficult to evaluate the relative effectiveness of these interventions. CONCLUSION: further research which targets more representative samples and uses validated assessment tools and multiple data collection methods is needed to expand our knowledge of patterns and predictors of adherence and to evaluate the relative effectiveness of adherence-enhancing intervention strategies.
|ISSN : ||0002-0729|
|Mesh Heading : ||Aged Community Health Services Family Practice Guideline Adherence Health Services Research Humans Patient Compliance Physician's Role Predictive Value of Tests Program Evaluation Quality Assurance, Health Care organization & administration|
|Mesh Heading Relevant : ||Geriatric Assessment Practice Guidelines as Topic standards standards statistics & numerical data statistics & numerical data|
Development and evaluation of the cane use cognitive mediator instrument.
Journal - Nursing research (UNITED STATES )
BACKGROUND: Canes are among the most underutilized assistive devices for older persons. A significant obstacle to understanding cane use behaviors of older adults is the lack of instruments measuring factors that may influence seniors' decisions to accept or reject these devices. OBJECTIVES: Guided by the Theory of Planned Behavior, this study involved the development and evaluation of an instrument to measure cognitive determinants of cane use among community-living older adults. METHOD: The two-phase design involved: a) instrument formation including item generation from four focus group interviews with seniors (n = 30), expert panel evaluation (n = 10), and pilot testing (n = 10); and b) instrument validation in a cross sectional survey (n = 106). RESULTS: Psychometric analyses of survey data provided empirical evidence of the construct validity and reliability of the instrument. Principal components analysis verified the hypothesized four-factor solution, explaining 63.2% of variance. Independent t-tests yielded statistically significant differences (p < 0.001) in mean scores between the two contrasting groups of cane users (n = 51) and nonusers (n = 55) with respect to each of the four factors identified. Alpha coefficients of 0.81 to 0.96 indicated high internal consistency of the instrument. CONCLUSIONS: The instrument can be used by clinicians and researchers to assess seniors' salient beliefs about the consequences of cane use, guide tailored intervention strategies to promote acceptance and effective use, and evaluate the effectiveness of interventions.
|ISSN : ||0029-6562|
|Mesh Heading : ||Aged Aged, 80 and over Canes Cross-Sectional Studies Female Focus Groups Humans Male Psychometrics Reproducibility of Results|
|Mesh Heading Relevant : ||Choice Behavior statistics & numerical data|
Exploring seniors' views on the use of assistive devices in fall prevention.
Journal - Public health nursing (Boston, Mass.) (UNITED STATES )
Falls are a common barrier to independent living among elderly persons. In recent years, growing awareness of the incidence of falls has led to the development of many community-based fall prevention programs for older adults. However, the potential impact of these programs is diminished by the lack of research on factors that may influence older persons' decisions to adopt or reject fall prevention behaviors. This exploratory descriptive study employed a focus group approach to elicit qualitative data on seniors' views on the use of assistive devices in fall prevention. Four focus group interviews were conducted with a convenience sample of 30 community-living older adults from Italian- and British-Canadian backgrounds in Ottawa, Canada. The interviews documented personal experiences with and the meaning of falls, aging, and assistive device use for older adults. The findings have important implications for the public health nursing practice in the realms of individual counseling, social marketing, and policy change to prevent falls among elderly persons. The study also provides direction for future research on this topic.
|ISSN : ||0737-1209|
|Mesh Heading : ||Accidental Falls Aged, 80 and over Female Focus Groups Great Britain Health Knowledge, Attitudes, Practice Humans Italy Male Ontario Orthopedic Equipment Self-Help Devices psychology psychology ethnology ethnology|
|Mesh Heading Relevant : ||Aged Ethnic Groups prevention & control utilization utilization|