Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia.
Background: The interaction between dementia and changes in health status accelerates the progression of dementia and health deterioration. Although health indicators exist for older adults, comprehensive ones for dementia are lacking. Objective: To (1) establish core health indicators for older adu...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 4; pp. 1 - 10 |
|---|---|
| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Aug2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187617561&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187617561 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Aug2025 vid: 22 iid: 4 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 187617561 187617561 187617561 10.1111/wvn.70060 187617561 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia. aug: au: Tung, Hsiao‐Ting Chen, Kuei‐Min Belcastro, Frank affil: Department of Nursing, Fooyin University, Kaohsiung, Taiwan sug: subj: Dementia Clinical Indicators Patient Centered Care Program Development Health Impact Assessment Evaluation Program Evaluation Funding Source Human Aged Delphi Technique Descriptive Research Case Managers Day Care Pilot Studies Cognition Disorders Behavioral and Mental Disorders Sensation Disorders Perceptual Disorders Disease Functional Status Social Isolation Content Validity Descriptive Statistics Actigraphy Walking Speed Grip Strength Content Analysis Qualitative Studies Coefficient alpha Data Analysis Software PubMed CINAHL Database Psycinfo Family Coping Inventory Scales Aged: 65+ years ab: Background: The interaction between dementia and changes in health status accelerates the progression of dementia and health deterioration. Although health indicators exist for older adults, comprehensive ones for dementia are lacking. Objective: To (1) establish core health indicators for older adults with dementia, (2) develop an integrated health assessment toolkit for older adults with dementia, and (3) test the feasibility and applicability of the integrated health assessment toolkit. Methods: This study involved two phases. In the first phase, using the Delphi method, opinions from 10 experts were synthesized to establish core health indicators for older adults with dementia. In the second phase, with a descriptive research approach, an integrated health assessment toolkit was developed, evaluated by 10 daycare case managers for feasibility, and then pilot tested with 50 older adults with dementia across three daycare centers. Results: The core health indicators for older adults with dementia covered 18 indicators in five domains: (1) cognitive and behavioral impairment, (2) sensory and perceptual impairment, (3) disease and dysfunction, (4) functional fitness deterioration, and (5) social isolation. After two rounds of assessments, experts rated the criteria's importance and clarity at 0.94 and 0.89 on the scale‐level content validity index/universal agreement (S‐CVI/UA), respectively. In the second phase, the integrated health assessment toolkit was developed, which integrated five observational assessment scales and six physical function measures. The average applicability scores ranged from 7.80 to 9.90 out of 10. In the pilot test, the assessment process proceeded smoothly without any adverse events. However, 10 participants did not comply with wearing the actigraphy device. Linking Action to Evidence: The core health indicators and the corresponding health assessment toolkit are feasible to assess the health of older adults with dementia that could provide valuable insights and guide future interventions to enhance their well‐being. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|