A cross-sectional study on clinical correlates of anxiety disorders in 613 community living older adults in Hong Kong

2016 ◽  
Vol 32 (7) ◽  
pp. 742-749 ◽  
Author(s):  
Ada Wai Tung Fung ◽  
Linda Chiu Wa Lam
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Anxiety Disorders ◽  
Cross Sectional Study ◽  
Community Living ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Correlates

scholarly journals Prevalence and determinants of potentially inappropriate medication use in Hong Kong older patients: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e051527
Author(s):  
Huanyu Zhang ◽  
Eliza LY Wong ◽  
Samuel YS Wong ◽  
Patsy YK Chau ◽  
Benjamin HK Yip ◽  
...  
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Hong Kong ◽  
Older Patients ◽  
Inappropriate Medication ◽  
Cross Sectional Study ◽  
Potentially Inappropriate Medication ◽  
Multivariable Logistic Regression Analysis ◽  
Sectional Study ◽  
Cross Sectional

ObjectivesTo assess the prevalence of potentially inappropriate medication (PIM) use in Hong Kong older patients visiting general outpatient clinics (GOPCs) between 2006 and 2014 and to identify factors associated with PIM use among older adults visiting GOPCs in 2014.DesignCross-sectional study.SettingGOPC.ParticipantsTwo study samples were constructed including a total of 844 910 patients aged 65 and above from 2006 to 2014 and a cohort of 489 301 older patients in 2014.MeasurementsTwo subsets of the 2015 American Geriatrics Society Beers criteria—PIMs independent of diagnosis and PIMs due to drug–disease interactions—were used to estimate the prevalence of PIM use over 12 months. PIMs that were not included in the Hospital Authority drug formulary or with any specific restriction or exception in terms of indication, dose or therapy duration were excluded. Characteristics of PIM users and non-PIM users visiting GOPCs in 2014 were compared. Independent associations between patient variables and PIM use were assessed by stepwise multivariable logistic regression analysis.ResultsThe 12-month period prevalence of PIM use decreased from 55.56% (95% CI 55.39% to 55.72%) in 2006 to 47.51% (95% CI 47.37% to 47.65%) in 2014. In the multivariable regression analysis, the strongest factor associated with PIM use was the number of different drugs prescribed (adjusted OR, AOR 23.01, 95% CI 22.36 to 23.67). Being female (AOR 0.89, 95% CI 0.85 to 0.87 for males vs females) and having a greater number of GOPC visits (AOR 1.83, 95% CI 1.78 to 1.88) as well as more than six diagnoses (AOR 1.43, 95% CI 1.36 to 1.52) were associated with PIM use.ConclusionsThe overall prevalence of PIM use in older adults visiting GOPCs decreased from 2006 to 2014 in Hong Kong although the prevalence of PIM use was still high in 2014. Patients with female gender, a larger number of medications prescribed, more frequent visits to GOPCs, and more than six diagnoses were at higher risk for PIM use.

scholarly journals Neighborhood Broadband and Older Adults’ Use of Telehealth: Cross-sectional Study of National Survey Data Linked with Census Data (Preprint)

2020 ◽  
Author(s):  
Safiyyah M. Okoye ◽  
John F. Mulcahy ◽  
Chanee D. Fabius ◽  
Julia G. Burgdorf ◽  
Jennifer L. Wolff
Keyword(s):  
Older Adults ◽  
Census Data ◽  
Social Deprivation ◽  
Internet Access ◽  
Cross Sectional Study ◽  
Community Living ◽  
Sectional Study ◽  
Cross Sectional ◽  
Broadband Internet ◽  
Internet Users

BACKGROUND The COVID-19 pandemic has amplified the important role of telehealth to safe continuity of care. Regional variation in internet access and telehealth use are well-documented, but how neighborhood factors, including pervasiveness of broadband internet, affects older adults’ telehealth in the context of internet access is not known. OBJECTIVE To assess how individual and neighborhood characteristics, including pervasiveness of neighborhood broadband internet subscription, affect engagement in telehealth among older adults with internet access. METHODS Cross-sectional study of 5,117 community-living older adults who participated in the 2017 National Health and Aging Trends Study with census-tract level data for participants’ place of residence from the American Community Survey. RESULTS Of an estimated 35.3 million community-living older adults, 21.1 million (59.7%) were internet users, and of this group, more than 1 in 3 (35.8%) engaged in telehealth. In a multivariable regression model that adjusted for individual and neighborhood-level factors, age, education, income, and pervasiveness of neighborhood broadband internet subscription were associated with engagement in telehealth: race, health, county metropolitan status, and neighborhood social deprivation were not. Among internet users, living in a neighborhood at the lowest (versus highest) tertile of broadband internet subscription was associated with being 40% less likely to engage in telehealth (aOR=0.60, 95% CI: 0.42, 0.87), all else equal. CONCLUSIONS Neighborhood broadband internet stands out as a mutable characteristic that is consequential to telehealth participation.

scholarly journals Neuropathological diagnoses and clinical correlates in older adults in Brazil: A cross-sectional study

PLoS Medicine ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. e1002267 ◽  
Author(s):  
Claudia K. Suemoto ◽  
Renata E. L. Ferretti-Rebustini ◽  
Roberta D. Rodriguez ◽  
Renata E. P. Leite ◽  
Luciana Soterio ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Correlates

scholarly journals Neighbourhood environment, sitting time and motorised transport in older adults: a cross-sectional study in Hong Kong

BMJ Open ◽  
2015 ◽  
Vol 5 (4) ◽  
pp. e007557-e007557 ◽  
Author(s):  
A. Barnett ◽  
E. Cerin ◽  
C. S.-K. Ching ◽  
J. M. Johnston ◽  
R. S. Y. Lee
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Cross Sectional Study ◽  
Sitting Time ◽  
Sectional Study ◽  
Neighbourhood Environment ◽  
Cross Sectional ◽  
Motorised Transport

Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

2020 ◽  
Author(s):  
Guillaume Sacco ◽  
Pauline Carliez ◽  
Frédéric Noublanche ◽  
Romain Simon ◽  
Anne Renaudin ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Patients ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Satisfaction Score ◽  
Tablet Computer ◽  
Sectional Study ◽  
Cross Sectional ◽  
System Usability Scale ◽  
Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

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