Skip header and navigation

Refine By

178 records – page 1 of 18.

The 39 item Parkinson's disease questionnaire (PDQ-39) revisited: implications for evidence based medicine.

https://arctichealth.org/en/permalink/ahliterature164059
Source
J Neurol Neurosurg Psychiatry. 2007 Nov;78(11):1191-8
Publication Type
Article
Date
Nov-2007
Author
Peter Hagell
Carita Nygren
Author Affiliation
Department of Health Sciences, Lund University, PO Box 157, SE-221 00 Lund, Sweden. Peter.Hagell@med.lu.se
Source
J Neurol Neurosurg Psychiatry. 2007 Nov;78(11):1191-8
Date
Nov-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Adult
Aged
Aged, 80 and over
Antiparkinson Agents - therapeutic use
Cognition Disorders - diagnosis - drug therapy - psychology
Disability Evaluation
Evidence-Based Medicine
Female
Geriatric Assessment - statistics & numerical data
Humans
Levodopa - therapeutic use
Male
Middle Aged
Mobility Limitation
Parkinson Disease - diagnosis - drug therapy - psychology
Psychometrics - statistics & numerical data
Quality of Life - psychology
Questionnaires
Reproducibility of Results
Sick Role
Sweden
Abstract
The 39 item Parkinson's disease questionnaire (PDQ-39) is the most widely used patient reported rating scale in Parkinson's disease. However, several fundamental measurement assumptions necessary for confident use and interpretation of the eight PDQ-39 scales have not been fully addressed.
Postal survey PDQ-39 data from 202 people with Parkinson's disease (54% men; mean age 70 years) were analysed regarding psychometric properties using traditional and Rasch measurement methods.
Data quality was good (mean missing item responses, 2%) and there was general support for the legitimacy of summing items within scales without weighting or standardisation. Score reliabilities were adequate (Cronbach's alpha 0.72-0.95; test-retest 0.76-0.93). The validity of the current grouping of items into scales was not supported by scaling success rates (mean 56.2%), or factor and Rasch analyses. All scales represented more health problems than that experienced by the sample (mean floor effect 15%) and showed compromised score precision towards the less severe end.
Our results provide general support for the acceptability and reliability of the PDQ-39. However, they also demonstrate limitations that have implications for the use of the PDQ-39 in clinical research. The grouping of items into scales appears overly complex and the meaning of scale scores is unclear, which hampers their interpretation. Suboptimal targeting limits measurement precision and, therefore, probably also responsiveness. These observations have implications for the role of the PDQ-39 in clinical trials and evidence based medicine. PDQ-39 derived endpoints should be interpreted and selected cautiously, particularly regarding small but clinically important effects among people with less severe problems.
Notes
Cites: Acta Neurol Scand. 2005 Jan;111(1):21-815595934
Cites: Parkinsonism Relat Disord. 2004 Dec;10(8):493-915542010
Cites: Expert Rev Neurother. 2004 Nov;4(6):985-9315853525
Cites: Qual Life Res. 2005 Jun;14(5):1225-3716047499
Cites: Brain. 2006 Jan;129(Pt 1):224-3416280352
Cites: Acta Neurol Scand. 2006 Feb;113(2):132-716411975
Cites: Med Care. 2000 Sep;38(9 Suppl):II73-8210982092
Cites: Behav Res Methods Instrum Comput. 2000 Aug;32(3):396-40211029811
Cites: Mov Disord. 2000 Nov;15(6):1112-811104193
Cites: J Neurol Neurosurg Psychiatry. 2002 Feb;72(2):241-811796776
Cites: Mov Disord. 2002 Jan;17(1):60-711835440
Cites: Rev Neurol (Paris). 2002 Jan;158(1):41-5011938321
Cites: Lancet. 2002 May 4;359(9317):1589-9812047983
Cites: Qual Life Res. 2002 May;11(3):193-20512074258
Cites: BMJ. 2002 Jun 22;324(7352):1508-1112077043
Cites: Mov Disord. 2002 Sep;17(5):1036-4012360555
Cites: Arch Phys Med Rehabil. 2003 Apr;84(4 Suppl 2):S52-6012692772
Cites: Mov Disord. 2003 Jul;18(7):773-8312815656
Cites: J Clin Epidemiol. 2003 Sep;56(9):843-714505768
Cites: J Neurol Neurosurg Psychiatry. 2003 Dec;74 Suppl 4:iv22-iv2614645463
Cites: Parkinsonism Relat Disord. 2003 Dec;10(2):89-9214643998
Cites: Med Care. 2004 Jan;42(1 Suppl):I37-4814707754
Cites: Value Health. 2004 Sep-Oct;7 Suppl 1:S22-615367240
Cites: Neurology. 1967 May;17(5):427-426067254
Cites: J Neurol Neurosurg Psychiatry. 1988 Jun;51(6):745-522841426
Cites: Qual Life Res. 1995 Jun;4(3):241-87613534
Cites: Qual Life Res. 1995 Aug;4(4):293-3077550178
Cites: Qual Life Res. 1999 Jun;8(4):345-5010472167
Cites: Qual Life Res. 2005 Feb;14(1):273-915789961
PubMed ID
17442762 View in PubMed
Less detail

Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents.

https://arctichealth.org/en/permalink/ahliterature139831
Source
Int J Health Geogr. 2010;9:52
Publication Type
Article
Date
2010
Author
Antonio Paez
Ruben G Mercado
Steven Farber
Catherine Morency
Matthew Roorda
Author Affiliation
School of Geography and Earth Sciences, McMaster University, Hamilton Ontario, Canada. paezha@mcmaster.ca
Source
Int J Health Geogr. 2010;9:52
Date
2010
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Health Services Accessibility - statistics & numerical data
Humans
Middle Aged
Mobility Limitation
Quebec
Regression Analysis
Residence Characteristics
Socioeconomic Factors
Transportation - statistics & numerical data
Young Adult
Abstract
Geographical access to health care facilities is known to influence health services usage. As societies age, accessibility to health care becomes an increasingly acute public health concern. It is known that seniors tend to have lower mobility levels, and it is possible that this may negatively affect their ability to reach facilities and services. Therefore, it becomes important to examine the mobility situation of seniors vis-a-vis the spatial distribution of health care facilities, to identify areas where accessibility is low and interventions may be required.
Accessibility is implemented using a cumulative opportunities measure. Instead of assuming a fixed bandwidth (i.e. a distance threshold) for measuring accessibility, in this paper the bandwidth is defined using model-based estimates of average trip length. Average trip length is an all-purpose indicator of individual mobility and geographical reach. Adoption of a spatial modelling approach allows us to tailor these estimates of travel behaviour to specific locations and person profiles. Replacing a fixed bandwidth with these estimates permits us to calculate customized location- and person-based accessibility measures that allow inter-personal as well as geographical comparisons.
The case study is Montreal Island. Geo-coded travel behaviour data, specifically average trip length, and relevant traveller's attributes are obtained from the Montreal Household Travel Survey. These data are complemented with information from the Census. Health care facilities, also geo-coded, are extracted from a comprehensive business point database. Health care facilities are selected based on Standard Industrial Classification codes 8011-21 (Medical Doctors and Dentists).
Model-based estimates of average trip length show that travel behaviour varies widely across space. With the exception of seniors in the downtown area, older residents of Montreal Island tend to be significantly less mobile than people of other age cohorts. The combination of average trip length estimates with the spatial distribution of health care facilities indicates that despite being more mobile, suburban residents tend to have lower levels of accessibility compared to central city residents. The effect is more marked for seniors. Furthermore, the results indicate that accessibility calculated using a fixed bandwidth would produce patterns of exposure to health care facilities that would be difficult to achieve for suburban seniors given actual mobility patterns.
The analysis shows large disparities in accessibility between seniors and non-seniors, between urban and suburban seniors, and between vehicle owning and non-owning seniors. This research was concerned with potential accessibility levels. Follow up research could consider the results reported here to select case studies of actual access and usage of health care facilities, and related health outcomes.
Notes
Cites: Soc Work. 1995 May;40(3):365-737761923
Cites: JAMA. 2002 Mar 13;287(10):1288-9411886320
Cites: J Dent Educ. 2005 Sep;69(9):961-7416141082
Cites: Health Policy. 2007 Mar;80(3):483-9116781002
Cites: Health Soc Work. 2007 Feb;32(1):57-6517432742
Cites: Int J Health Geogr. 2008;7:718282284
Cites: Ann N Y Acad Sci. 2008;1136:149-6017954671
Cites: Ann N Y Acad Sci. 2008;1136:161-7117954679
Cites: Int J Health Geogr. 2008;7:6319087277
Cites: Health Place. 2009 Dec;15(4):1100-719576837
Cites: Int J Health Geogr. 2010;9:1720298608
Cites: MMWR CDC Surveill Summ. 1999 Dec 17;48(8):51-8810634271
Cites: Ann N Y Acad Sci. 1999;896:497-50010681961
Cites: J Womens Health Gend Based Med. 2000 Oct;9(8):881-911074954
Cites: J Gerontol B Psychol Sci Soc Sci. 2001 Mar;56(2):S69-8311245367
Cites: Health Soc Care Community. 2001 Jan;9(1):11-811560717
Cites: J Health Care Poor Underserved. 2002 Feb;13(1):95-11111836917
Cites: Issue Brief Cent Stud Health Syst Change. 2002 Feb;(49):1-411865909
Cites: Med Care Res Rev. 2002 Mar;59(1):79-98; discussion 99-10311877880
Cites: Am J Public Health. 1993 Jul;83(7):948-548328615
Cites: J Rural Health. 1991;7(4 Suppl):437-5010116034
Cites: Int J Health Serv. 1978;8(3):519-30681049
Cites: Am J Public Health. 2004 Oct;94(10):1788-9415451751
Cites: Health Place. 2004 Sep;10(3):273-8315177201
Cites: Health Serv Res. 2003 Feb;38(1 Pt 1):287-30912650392
Cites: Int J Health Serv. 2002;32(1):89-10611913859
Cites: Ambul Pediatr. 2001 Jan-Feb;1(1):3-1511888366
Cites: Health Place. 2005 Jun;11(2):131-4615629681
PubMed ID
20973969 View in PubMed
Less detail

Accomplishment level and satisfaction with social participation of older adults: association with quality of life and best correlates.

https://arctichealth.org/en/permalink/ahliterature144806
Source
Qual Life Res. 2010 Jun;19(5):665-75
Publication Type
Article
Date
Jun-2010
Author
Mélanie Levasseur
Johanne Desrosiers
Gale Whiteneck
Author Affiliation
School of Rehabilitation, Université de Sherbrooke, 3001 12ième avenue Nord, Sherbrooke, QC, J1H 5N4, Canada. Melanie.Levasseur@USherbrooke.ca
Source
Qual Life Res. 2010 Jun;19(5):665-75
Date
Jun-2010
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Age Factors
Aged
Aging
Analysis of Variance
Community Networks
Consumer Participation
Consumer Satisfaction - statistics & numerical data
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Interpersonal Relations
Male
Middle Aged
Mobility Limitation
Motor Activity
Quality of Life - psychology
Quebec
Social Perception
Statistics as Topic
Abstract
This study aimed to (1) explore whether quality of life (QOL) is more associated with satisfaction with social participation (SP) than with level of accomplishment in SP and (2) examine respective correlates of accomplishment level and satisfaction with SP.
A cross-sectional design was used with a convenience sample of 155 older adults (mean age=73.7; 60% women) having various levels of activity limitations. Accomplishment level and satisfaction with SP (dependent variables) were estimated with the social roles items of the assessment of life habits. Potential correlates were human functioning components.
Correlations between QOL and accomplishment level and satisfaction with SP did not differ (P=0.71). However, best correlates of accomplishment level and satisfaction with SP were different. Higher accomplishment level of SP was best explained by younger age, activity level perceived as stable, no recent stressing event, better well-being, higher activity level, and fewer obstacles in "Physical environment and accessibility" (R2=0.79). Greater satisfaction with SP was best explained by activity level perceived as stable, better self-perceived health, better well-being, higher activity level, and more facilitators in "Social support and attitudes" (R2=0.51).
With some exceptions, these best correlates may be positively modified and thus warrant special attention in rehabilitation interventions.
Notes
Cites: Disabil Rehabil. 2004 Oct 21;26(20):1206-1315371021
Cites: Can J Occup Ther. 2007;74 Spec No.:233-4217844978
Cites: Health Place. 2004 Dec;10(4):383-9115491897
Cites: ANS Adv Nurs Sci. 1985 Oct;8(1):15-243933411
Cites: J Chronic Dis. 1987;40(5):373-833558716
Cites: Age Ageing. 1988 Sep;17(5):293-3022976575
Cites: Soc Sci Med. 2008 Jun;66(11):2335-4518314239
Cites: Neurorehabil Neural Repair. 2008 May-Jun;22(3):288-9717916657
Cites: Health Qual Life Outcomes. 2008;6:3018445262
Cites: Am J Phys Med Rehabil. 2008 Oct;87(10):830-4118806510
Cites: Int J Rehabil Res. 2008 Dec;31(4):267-7419008674
Cites: Health Promot Int. 2009 Mar;24(1):46-5719098293
Cites: Disabil Rehabil. 2008;30(19):1445-6018923977
Cites: Arch Gerontol Geriatr. 2009 Sep-Oct;49(2):e91-10018977542
Cites: Arch Gerontol Geriatr. 2009 Nov-Dec;49(3):397-40319136161
Cites: Disabil Rehabil. 2009;31(16):1311-719340665
Cites: Disabil Rehabil. 2010;32(11):899-90719860601
Cites: Issues Ment Health Nurs. 1990;11(1):49-702298561
Cites: J Neurol Neurosurg Psychiatry. 1994 Jul;57(7):825-97880230
Cites: Psychosom Med. 1995 May-Jun;57(3):245-547652125
Cites: Age Ageing. 1995 Sep;24(5):402-68669343
Cites: Am J Epidemiol. 1997 May 15;145(10):935-449149665
Cites: Spinal Cord. 1997 Dec;35(12):829-409429262
Cites: Soc Sci Med. 2000 Sep;51(6):843-5710972429
Cites: Disabil Rehabil. 2001 Sep 10;23(13):559-6911451190
Cites: Clin Rehabil. 2002 Feb;16(1):27-3511841066
Cites: Stroke. 2002 Mar;33(3):762-811872901
Cites: J Spinal Cord Med. 2002 Spring;25(1):11-2211939460
Cites: Clin Geriatr Med. 2002 Aug;18(3):593-609, ix12424874
Cites: J Gerontol B Psychol Sci Soc Sci. 2002 Nov;57(6):P510-712426433
Cites: Disabil Rehabil. 2002 Oct 15;24(15):774-8512437863
Cites: Arch Gerontol Geriatr. 2003 Sep-Oct;37(2):157-7212888229
Cites: Disabil Rehabil. 2004 Mar 18;26(6):346-5215204486
Cites: Psychother Psychosom. 1998;67(6):317-229817953
Cites: Disabil Rehabil. 1999 Mar;21(3):116-2310206351
Cites: Soc Sci Med. 1999 Apr;48(8):977-8810390038
Cites: Arch Phys Med Rehabil. 1999 Aug;80(8):867-7610453761
Cites: Arch Phys Med Rehabil. 2004 Nov;85(11):1793-80315520974
Cites: J Head Trauma Rehabil. 2004 Nov-Dec;19(6):459-8115602309
Cites: Aging Clin Exp Res. 2004 Oct;16(5):406-1215636468
Cites: Arch Phys Med Rehabil. 2005 Apr;86(4):735-4515827926
Cites: Acta Neurol Scand. 2005 Sep;112(3):157-6216097957
Cites: J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):87-11016195966
Cites: Arch Phys Med Rehabil. 2005 Nov;86(11):2087-9416271553
Cites: Arch Gerontol Geriatr. 2006 Mar-Apr;42(2):191-20616125809
Cites: Disabil Rehabil. 2006 Feb 28;28(4):221-3016467057
Cites: Can J Occup Ther. 2006 Jun;73(3):163-7716871858
Cites: Qual Life Res. 2006 Nov;15(9):1471-917009086
Cites: Arch Phys Med Rehabil. 2006 Dec;87(12):1566-7517141635
Cites: Qual Life Res. 2007 Sep;16(7):1147-5617530446
Cites: J Rehabil Med. 2004 Jul;36(4):177-8215370734
PubMed ID
20237957 View in PubMed
Less detail

Addressing social inequality in aging by the Danish occupational social class measurement.

https://arctichealth.org/en/permalink/ahliterature104848
Source
J Aging Health. 2014 Feb;26(1):106-27
Publication Type
Article
Date
Feb-2014
Author
Ulla Christensen
Rikke Krølner
Charlotte J Nilsson
Pernille W Lyngbye
Charlotte Ø Hougaard
Else Nygaard
Karsten Thielen
Bjørn E Holstein
Kirsten Avlund
Rikke Lund
Author Affiliation
University of Copenhagen, Denmark.
Source
J Aging Health. 2014 Feb;26(1):106-27
Date
Feb-2014
Language
English
Publication Type
Article
Keywords
Aging - physiology
Chronic Disease
Cohort Studies
Denmark
Diagnostic Self Evaluation
Female
Health Status Disparities
Humans
Male
Middle Aged
Mobility Limitation
Occupations
Questionnaires
Reproducibility of Results
Social Class
Abstract
To present the Danish Occupational Social Class (DOSC) measurement as a measure of socioeconomic position (SEP) applicable in a late midlife population, and to analyze associations of this measure with three aging-related outcomes in midlife, adjusting for education.
Systematic coding procedures of the DOSC measurement were applied to 7,084 participants from the Copenhagen Aging and Midlife Biobank (CAMB) survey. We examined the association of this measure of SEP with chronic conditions, self-rated health, and mobility in logistic regression analyses, adjusting for school education in the final analysis.
The measure of SEP showed a strong social gradient along the social classes in terms of prevalence of chronic conditions, poor self-rated health, and mobility limitations. Adjusting for school education attenuated the association only to a minor degree.
The DOSC measure was associated with aging-related outcomes in a midlife Danish population, and is, thus, well suited for future epidemiological research on social inequalities in health and aging.
PubMed ID
24584263 View in PubMed
Less detail

Adult Scandinavians' use of powered scooters: user satisfaction, frequency of use, and prediction of daily use.

https://arctichealth.org/en/permalink/ahliterature295765
Source
Disabil Rehabil Assist Technol. 2018 04; 13(3):212-219
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
04-2018
Author
Terje Sund
Åse Brandt
Author Affiliation
a Department of Assistive Technology , The Norwegian Labour and Welfare Service , Oslo , Norway.
Source
Disabil Rehabil Assist Technol. 2018 04; 13(3):212-219
Date
04-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Aged
Aged, 80 and over
Cross-Sectional Studies
Denmark
Disabled Persons - rehabilitation
Electric Power Supplies
Female
Humans
Interviews as Topic
Male
Middle Aged
Mobility Limitation
Norway
Patient satisfaction
Reproducibility of Results
Wheelchairs
Abstract
To investigate user satisfaction with characteristics of powered scooters (scooters), frequency of use, and factors predicting daily scooter use.
Cross-sectional.
Adult scooter users (n?=?59) in Denmark and Norway, mean age 74.5 (standard deviation 12.3) years.
Structured face-to-face interviews. The NOMO 1.0, the Quebec User Evaluation of Satisfaction with assistive devices (QUEST 2.0), and a study specific instrument were used to collect data. Descriptive statistics were applied, and regression analyzes were used to investigate predictors for daily scooter use. The International Classification of Functioning, Disability and Health (ICF) served as a framework for classifying variables and guiding the investigation.
Satisfaction with the scooter characteristics was high with most participants being very satisfied or quite satisfied (66.1-91.5%). Most scooters were used daily (36.2%) or several times a week (50.0%). User satisfaction with safety of the scooter [odds ratio (OR)?=?11.76, confidence interval (CI)?=?1.70-81.28] and reduced balance (OR?=?5.63, CI?=?0.90-35.39) increased the likelihood of daily use, while reduced function in back and/or legs (OR?=?.04, CI?=?0.00-0.75), tiredness (OR?=?.06, CI?=?0.01-0.51), and increased age (OR?=?.93, CI?=?0.87-1.00) reduced the likelihood of daily use. 52.8% of the variance was explained by these variables.
User satisfaction was high, and most scooters were used frequently. User satisfaction with safety, specific functional limitations and age were predictors for daily scooter use. Implications for Rehabilitation Scooters seem to be a beneficial intervention for people with mobility impairment: user satisfaction and frequency of use are high. Users' subjective feeling of safety should be secured in the service delivery process in order to support safe and frequent scooter use. Training of scooter skills should be considered in the service delivery process.
PubMed ID
28366104 View in PubMed
Less detail

Arthritis and arthritis-attributable activity limitations in the United States and Canada: a cross-border comparison.

https://arctichealth.org/en/permalink/ahliterature144216
Source
Arthritis Care Res (Hoboken). 2010 Mar;62(3):308-15
Publication Type
Article
Date
Mar-2010
Author
Elizabeth M Badley
Hina Ansari
Author Affiliation
Toronto Western Research Institute and University of Toronto, Toronto, Ontario, Canada. e.badley@utoronto.ca
Source
Arthritis Care Res (Hoboken). 2010 Mar;62(3):308-15
Date
Mar-2010
Language
English
Publication Type
Article
Keywords
Aged
Arthritis - complications - epidemiology
Canada
Female
Health Services Accessibility
Humans
Male
Middle Aged
Mobility Limitation
Obesity - epidemiology
Prevalence
Risk factors
Sedentary lifestyle
United States - epidemiology
Abstract
To compare directly the prevalence and risk factors for arthritis and arthritis-attributable activity limitations (AAL) between the US and Canada, and to estimate the population attributable risk percentage (PAR%) for obesity and leisure time physical inactivity.
We conducted analyses of the 2002-2003 Joint Canada/US Health Survey, which asked about health professional-diagnosed arthritis, and arthritis reported as a cause of disability in specified activities of daily living. We used log-Poisson regression to obtain prevalence ratios for arthritis and AAL, adjusting for education, income, having a regular doctor, physical inactivity, and obesity. PAR% for obesity and physical inactivity were calculated.
The estimated crude prevalence of arthritis and AAL were 18.7% and 9.3%, respectively, in the US and 16.9% and 7.4%, respectively, in Canada. Being American was a significant bivariate predictor of arthritis and AAL, but not after adjustment for obesity and physical inactivity. PAR% for obesity were 14% and 20% for arthritis and AAL, respectively, for Americans and 13% and 17%, respectively, for Canadians, and for physical inactivity were 15% and 21%, respectively, for Americans and 4% and 5%, respectively, for Canadians, with estimates being higher among women.
The higher prevalence of arthritis and AAL in the US may be accounted for by the higher prevalence of obesity and physical inactivity, particularly in women. The high PAR% related to obesity in both countries, and physical inactivity in the US, point to the importance of public health initiatives to reduce obesity and increase physical activity to reduce the prevalence of arthritis and AAL.
PubMed ID
20391476 View in PubMed
Less detail

Assessment of functional outcome in a national quality register for acute stroke: can simple self-reported items be transformed into the modified Rankin Scale?

https://arctichealth.org/en/permalink/ahliterature78669
Source
Stroke. 2007 Apr;38(4):1384-6
Publication Type
Article
Date
Apr-2007
Author
Eriksson Marie
Appelros Peter
Norrving Bo
Terént Andreas
Stegmayr Birgitta
Author Affiliation
Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden. marie.eriksson@medicin.umu.se
Source
Stroke. 2007 Apr;38(4):1384-6
Date
Apr-2007
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Cerebrovascular Accident - epidemiology - rehabilitation
Disability Evaluation
Female
Humans
Interviews
Male
Mobility Limitation
Outcome Assessment (Health Care) - methods - standards
Quality Assurance, Health Care - methods - standards - statistics & numerical data
Quality of Life
Registries - standards - statistics & numerical data
Reproducibility of Results
Self-Evaluation Programs - methods - standards - statistics & numerical data
Sweden
Abstract
BACKGROUND AND PURPOSE: To enable self-reporting of functional outcome in quality registers, the corresponding questions have to be easy to interpret. In scientific research, the modified Rankin Scale (mRS) is a standard assessment method. Such methods, with an outsider observer, are not feasible to use in quality registers. For several aspects, eg, comparisons between outcome in clinical studies and observational studies, we determined to see whether the functional outcome, as assessed in a quality register, can be transformed into mRS grades. METHODS: The agreement between self-reported functional outcome (including dependency, living situation, mobility, dressing and toileting) and mRS were analyzed using 555 stroke patients registered in Riks-Stroke, the Swedish quality register for acute stroke, during a 5-month period in 4 hospitals. The self-reported outcome and the mRS grades were concurrently assessed by a telephone interview performed by an experienced nurse 3 months after stroke. RESULTS: A translation using 5 of the questions from Riks-Stroke classified 76% of the patients to the correct mRS grade. The correlation between Riks-Stroke and mRS was 0.821 and Cohen's kappa (weighted) was 0.853. CONCLUSIONS: The study shows that self-reported functional outcome can be transformed into mRS grades with a high precision, making the translation useful for future comparative purposes in stroke outcome studies.
PubMed ID
17322093 View in PubMed
Less detail

The Assistance Dog System in Finland. An Overview of the Current Situation and Suggestions.

https://arctichealth.org/en/permalink/ahliterature281979
Source
Stud Health Technol Inform. 2015;217:357-9
Publication Type
Article
Date
2015
Author
Outi Töytäri
Sarianna Savolainen
Source
Stud Health Technol Inform. 2015;217:357-9
Date
2015
Language
English
Publication Type
Article
Keywords
Animal Assisted Therapy
Animals
Disabled Persons - psychology - rehabilitation
Dogs
Finland
Humans
Mobility Limitation
Abstract
This paper describes the current situation of the assistance dog system in Finland; problems, development needs, benefits of assistance dogs and suggestions for a new system.
PubMed ID
26294497 View in PubMed
Less detail

The association between mental health symptoms and mobility limitation among Russian, Somali and Kurdish migrants: a population based study.

https://arctichealth.org/en/permalink/ahliterature266869
Source
BMC Public Health. 2015;15:275
Publication Type
Article
Date
2015
Author
Shadia Rask
Anu E Castaneda
Päivikki Koponen
Päivi Sainio
Sari Stenholm
Jaana Suvisaari
Teppo Juntunen
Tapio Halla
Tommi Härkänen
Seppo Koskinen
Source
BMC Public Health. 2015;15:275
Date
2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Checklist
Chronic Disease - ethnology
Cross-Sectional Studies
Depressive Disorder - ethnology
Female
Finland - epidemiology
Health Surveys
Humans
Iraq - ethnology
Male
Mental Disorders - ethnology
Middle Aged
Mobility Limitation
Russia - ethnology
Somalia - ethnology
Somatoform Disorders - ethnology
Transients and Migrants - psychology
Young Adult
Abstract
Research has demonstrated a bidirectional relationship between physical function and depression, but studies on their association in migrant populations are scarce. We examined the association between mental health symptoms and mobility limitation in Russian, Somali and Kurdish migrants in Finland.
We used data from the Finnish Migrant Health and Wellbeing Study (Maamu). The participants comprised 1357 persons of Russian, Somali or Kurdish origin aged 18-64 years. Mobility limitation included self-reported difficulties in walking 500?m or stair climbing. Depressive and anxiety symptoms were measured using the Hopkins Symptom Checklist-25 (HSCL-25) and symptoms of somatization using the somatization subscale of the Symptom Checklist-90 Revised (SCL-90-R). A comparison group of the general Finnish population was selected from the Health 2011 study.
Anxiety symptoms were positively associated with mobility limitation in women (Russians odds ratio [OR] 2.98; 95% confidence interval [CI] 1.28-6.94, Somalis OR 6.41; 95% CI 2.02-20.29 and Kurds OR 2.67; 95% CI 1.41-5.04), after adjustment for socio-demographic factors, obesity and chronic diseases. Also somatization increased the odds for mobility limitation in women (Russians OR 4.29; 95% CI 1.76-10.44, Somalis OR 18.83; 95% CI 6.15-57.61 and Kurds OR 3.53; 95% CI 1.91-6.52). Depressive symptoms were associated with mobility limitation in Russian and Kurdish women (Russians OR 3.03; 95% CI 1.27-7.19 and Kurds OR 2.64; 95% CI 1.39-4.99). Anxiety symptoms and somatization were associated with mobility limitation in Kurdish men when adjusted for socio-demographic factors, but not after adjusting for obesity and chronic diseases. Finnish women had similar associations as the migrant women, but Finnish men and Kurdish men showed varying associations.
Mental health symptoms are significantly associated with mobility limitation both in the studied migrant populations and in the general Finnish population. The joint nature of mental health symptoms and mobility limitation should be recognized by health professionals, also when working with migrants. This association should be addressed when developing health services and health promotion.
Notes
Cites: Transcult Psychiatry. 2010 Apr;47(2):276-30020603389
Cites: J Gerontol A Biol Sci Med Sci. 2010 Jun;65(6):649-5720159778
Cites: Torture. 2010;20(2):57-7520952823
Cites: Int Rev Psychiatry. 2010;22(5):429-3621047157
Cites: Psychol Med. 2011 Jan;41(1):71-8320346193
Cites: BMC Public Health. 2014;14:115025373328
Cites: Psychiatry Res. 2014 Dec 30;220(3):1028-3625223256
Cites: J Immigr Minor Health. 2014 Dec;16(6):1130-723959695
Cites: Am J Psychiatry. 2000 Mar;157(3):385-9210698814
Cites: J Consult Clin Psychol. 2000 Oct;68(5):748-6611068961
Cites: Biometrics. 1999 Jun;55(2):652-911318229
Cites: Am J Geriatr Psychiatry. 2001 Spring;9(2):113-3511316616
Cites: J Psychosom Res. 2001 Apr;50(4):185-9211369023
Cites: J Clin Psychiatry. 2001;62 Suppl 13:22-8; discussion 29-3011434415
Cites: J Epidemiol Community Health. 2001 Oct;55(10):701-711553652
Cites: J Nerv Ment Dis. 2002 Apr;190(4):233-4011960084
Cites: JAMA. 2002 Aug 7;288(5):611-2112150673
Cites: Acta Psychiatr Scand Suppl. 2003;(418):67-7212956818
Cites: Acta Psychiatr Scand. 2004 Apr;109(4):243-5815008797
Cites: Soc Psychiatry Psychiatr Epidemiol. 2012 Jan;47(1):97-10921110000
Cites: Health Policy. 2012 Apr;105(1):10-622277878
Cites: Gerontologist. 1969 Autumn;9(3):179-865349366
Cites: Gerontologist. 1970 Spring;10(1):20-305420677
Cites: Psychopharmacol Bull. 1973 Jan;9(1):13-284682398
Cites: Behav Sci. 1974 Jan;19(1):1-154808738
Cites: Rev Epidemiol Sante Publique. 1981;29(4):413-96461907
Cites: Soc Psychiatry Psychiatr Epidemiol. 1993 Jul;28(3):130-38378808
Cites: J Affect Disord. 1997 Apr;43(2):105-199165380
Cites: Am J Public Health. 1999 Sep;89(9):1346-5210474551
Cites: JAMA. 1963 Sep 21;185:914-914044222
Cites: Lancet. 2005 Apr 9-15;365(9467):1309-1415823380
Cites: Ethn Dis. 2005 Spring;15(2):213-2015825967
Cites: Scand J Public Health. 2005;33(4):276-8416087490
Cites: Soc Psychiatry Psychiatr Epidemiol. 2006 Jan;41(1):18-2616341619
Cites: J Epidemiol Community Health. 2007 May;61(5):401-817435206
Cites: Gerontology. 2007;53(3):173-817202820
Cites: Adolescence. 2007 Spring;42(165):51-7117536475
Cites: Soc Psychiatry Psychiatr Epidemiol. 2007 Dec;42(12):990-617846697
Cites: BMC Public Health. 2011;11:18021435212
Cites: J Cult Divers. 2011 Spring;18(1):3-721526581
Cites: J Gerontol A Biol Sci Med Sci. 2011 Nov;66(11):1258-6321798864
Cites: J Gerontol B Psychol Sci Soc Sci. 2012 Mar;67(2):238-4822391749
Cites: J Epidemiol Community Health. 2012 Jul;66(7):e2521693471
Cites: Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):422-3022425242
Cites: BMC Public Health. 2013;13:10123379351
Cites: BMC Res Notes. 2013;6:11923531273
Cites: BMC Public Health. 2013;13:45823663279
Cites: Eur J Public Health. 2013 Dec;23(6):998-100223729485
Cites: Int J Emerg Ment Health. 2013;15(2):85-9624558696
Cites: BMC Public Health. 2014;14:50224884440
Cites: Eur Psychiatry. 2008 Jan;23 Suppl 1:14-2018371575
Cites: Scand J Public Health. 2008 Mar;36(2):190-618519284
Cites: Eur J Clin Nutr. 2008 Nov;62(11):1326-3217657226
Cites: J Gerontol B Psychol Sci Soc Sci. 2008 Nov;63(6):P321-719092034
Cites: Psychol Med. 2009 Jul;39(7):1117-2719000338
Cites: JAMA. 2009 Aug 5;302(5):537-4919654388
Cites: BMC Public Health. 2009;9:30219695085
Cites: Community Ment Health J. 2010 Feb;46(1):65-7619636706
Cites: Eur J Public Health. 2010 Oct;20(5):555-6320040522
PubMed ID
25884326 View in PubMed
Less detail

Association between mobility, participation, and wheelchair-related factors in long-term care residents who use wheelchairs as their primary means of mobility.

https://arctichealth.org/en/permalink/ahliterature123407
Source
J Am Geriatr Soc. 2012 Jul;60(7):1310-5
Publication Type
Article
Date
Jul-2012
Author
W Ben Mortenson
William C Miller
Catherine L Backman
John L Oliffe
Author Affiliation
Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, University of Montreal, Montreal, Quebec, Canada. bmortens@interchange.ubc.ca
Source
J Am Geriatr Soc. 2012 Jul;60(7):1310-5
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
British Columbia
Chi-Square Distribution
Comorbidity
Cross-Sectional Studies
Disability Evaluation
Female
Geriatric Assessment
Humans
Long-Term Care
Male
Middle Aged
Mobility Limitation
Wheelchairs
Abstract
To explore how wheelchair-related factors, mobility, and participation are associated in a sample of long-term care residents who use wheelchairs as their primary means of mobility.
Cross-sectional survey.
Eleven residential care facilities in the lower mainland of British Columbia, Canada.
One hundred forty-six self-responding residents and 118 proxy respondents: mean age 84 (range 60-103). Most were female (69%), and a small proportion (9%) drove a power wheelchair.
The Nursing Home Life Space Diameter Assessment was used to measure resident mobility, and the Late Life Function and Disability Instrument: Disability Component was used to measure participation frequency in daily activities.
Path analysis indicated that wheelchair-related factors were associated with participation frequency directly and indirectly through their relationship with mobility. The final model explained 46% of the variance in resident mobility and 53% of the variance in resident participation frequency. Wheelchair skills, which include the ability to transfer in and out of and propel a wheelchair, were important predictors of life-space mobility and frequency of participation, and life space mobility was a significant predictor of frequency of participation. Depression was associated with poorer wheelchair skills and mobility and less-frequent participation. Counterintuitively, perceived environmental barriers were positively associated with frequency of participation.
The findings suggest that, by addressing wheelchair-related factors, resident's mobility and participation may be improved, but the efficacy of this approach needs to be confirmed experimentally.
Notes
Cites: Arch Phys Med Rehabil. 2004 Mar;85(3):416-2315031827
Cites: Clin Rehabil. 2004 May;18(3):317-2515137563
Cites: Assist Technol. 2003 Winter;15(2):151-6315137732
Cites: Health Rep. 2004 May;15(3):37-4115208888
Cites: Arch Phys Med Rehabil. 2004 Aug;85(8):1324-3515295760
Cites: Assist Technol. 2004 Summer;16(1):18-2715357146
Cites: Adv Clin Rehabil. 1987;1:6-183503663
Cites: J Am Geriatr Soc. 1990 Dec;38(12):1311-52254569
Cites: J Am Geriatr Soc. 1994 May;42(5):490-28176142
Cites: Fam Pract. 1994 Sep;11(3):260-67843514
Cites: J Am Geriatr Soc. 1995 Apr;43(4):384-87706628
Cites: J Gerontol B Psychol Sci Soc Sci. 1997 May;52(3):S135-449158570
Cites: J Public Health Med. 1997 Jun;19(2):179-869243433
Cites: J Clin Epidemiol. 2005 Jun;58(6):595-60215878473
Cites: Int J Geriatr Psychiatry. 2005 Oct;20(10):911-816163741
Cites: Am J Alzheimers Dis Other Demen. 2006 Jan-Feb;21(1):15-2216526585
Cites: Arch Phys Med Rehabil. 2011 Oct;92(10):1587-9321840499
Cites: Sociol Health Illn. 2012 Mar;34(3):315-2921707660
Cites: Soc Psychiatry Psychiatr Epidemiol. 2001 Dec;36(12):613-2011838834
Cites: J Gerontol A Biol Sci Med Sci. 2002 Apr;57(4):M209-1611909885
PubMed ID
22702515 View in PubMed
Less detail

178 records – page 1 of 18.