scholarly journals A mixed analysis approach to elucidate the multiple chronic condition experience of English- and Spanish-speaking older adults

2019 ◽  
Vol Volume 14 ◽  
pp. 407-418
Author(s):  
Kamilah B Thomas-Purcell ◽  
Robin J Jacobs ◽  
Tyler L Seidman ◽  
Amarilis Acevedo ◽  
Drenna Waldrop-Valverde ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Condition ◽  
Analysis Approach ◽  
Multiple Chronic Condition ◽  
Spanish Speaking ◽  
Mixed Analysis

scholarly journals Effects of a multiple chronic condition (CC) remote monitoring program on clinical outcomes among older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1040-1041
Author(s):  
Eldin Dzubur ◽  
Roberta James ◽  
Jessica Yu ◽  
Julia Hoffman ◽  
Bimal Shah
Keyword(s):  
Mental Health ◽  
Blood Pressure ◽  
Older Adults ◽  
Blood Glucose ◽  
Clinical Outcomes ◽  
Remote Monitoring ◽  
Chronic Condition ◽  
Monitoring Program ◽  
Multiple Chronic Condition ◽  
Program Enrollment

Abstract Older adults are faced with an increased risk of comorbid chronic disease such as diabetes. While multiple health behavior change interventions (MHCIs) are known to improve clinical outcomes more than targeted interventions, less is known whether such effects persist in older populations. The objective of the study was to examine the effects of multiple chronic condition (CC) remote monitoring program enrollment and mental health program enrollment on glucose and blood pressure reduction, adjusting for self-monitoring behaviors. In a sample of 594 older adults (age 55+, 14% 65+ years, 46.8% female) evaluated over a 12-month period, statistical models showed that older adults with uncontrolled diabetes (A1c >= 7.0%) had a 7.9 pt. reduction in blood glucose for each additional program enrolled and a 22.7 pt. reduction in blood glucose when enrolled in mental health compared to those not enrolled. Similarly, older adults with uncontrolled hypertension (BP >= 130/80) had a 4.8 pt. reduction in systolic blood pressure for each additional program enrolled and a 7.2 pt. reduction in systolic blood pressure when enrolled in mental health compared to those not enrolled. The findings indicate the potential for multiprogram digital health interventions that incorporate mental health to further improve clinical outcomes in older adults suffering from multiple chronic diseases, namely diabetes and hypertension.

scholarly journals Disease-related disability burden: a comparison of seven chronic conditions in middle-aged and older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chieh-Ying Chou ◽  
Ching-Ju Chiu ◽  
Chia-Ming Chang ◽  
Chih-Hsing Wu ◽  
Feng-Hwa Lu ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Disability ◽  
Chronic Conditions ◽  
Chronic Condition ◽  
Disease Diagnosis ◽  
Rate Of Change ◽  
Middle Aged ◽  
Rates Of Change ◽  
Depression Status ◽  
Stage Disease

Abstract Background Although previous studies have explored the effect of chronic conditions on physical disability, little is known about the levels and rates of change in physical disability after a chronic condition diagnosis in middle-aged and older adults in the Asian population. The aim of this study is to ascertain the average levels and rates of change in the development of disability after disease diagnosis, as well as to determine the influences of sociodemographic and health-related correlates in the development of disability. Methods This is a retrospective cohort study analyzing data of nationally representative participants aged 50 and over with a chronic condition or having developed one during follow-ups based on data from the 1996–2011 Taiwan Longitudinal Study on Aging (TLSA) (n = 5131). Seven chronic conditions were examined. Covariates included age at initial diagnosis, gender, education level, number of comorbidities, and depression status. Physical disability was measured by combining self-reported ADL, IADL, and strength and mobility activities with 17 total possible points, further analyzed with multilevel modeling. Results The results showed that (1) physical disability was highest for stroke, followed by cancer and diabetes at the time of the initial disease diagnosis. (2) The linear rate of change was highest for stroke, followed by lung disease and heart disease, indicating that these diseases led to higher steady increases in physical disability after the disease diagnosis. (3) The quadratic rate of change was highest in diabetes, followed by cancer and hypertension, indicating that these diseases had led to higher increments of physical disability in later stage disease. After controlling for sociodemographic and comorbidity, depression status accounted for 39.9–73.6% and 37.9–100% of the variances in the physical disability intercept and change over time, respectively. Conclusions Despite the fact that a comparison across conditions was not statistically tested, an accelerated increase in physical disabilities was found as chronic conditions progressed. While stroke and cancer lead to disability immediately, conditions such as diabetes, cancer, and hypertension give rise to higher increments of physical disability in later stage disease. Mitigating depressive symptoms may be beneficial in terms of preventing disability development in this population.

English and Spanish‐speaking vulnerable older adults report many barriers to advance care planning

2021 ◽  
Author(s):  
Linda H. Phung ◽  
Deborah E. Barnes ◽  
Aiesha M. Volow ◽  
Brookelle H. Li ◽  
Nikita R. Shirsat ◽  
...  
Keyword(s):  
Older Adults ◽  
Advance Care Planning ◽  
Care Planning ◽  
Spanish Speaking ◽  
Advance Care

scholarly journals A Confirmatory Factor Analysis of the Brief Sense of Community Scale for Spanish-Speaking Older Adults in Puerto Rico

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 108-108
Author(s):  
Tommy Buckley ◽  
Kyeongmo Kim ◽  
Denise Burnette
Keyword(s):  
Older Adults ◽  
Factor Analysis ◽  
Puerto Rico ◽  
Confirmatory Factor Analysis ◽  
Sense Of Community ◽  
Community Dwelling ◽  
Psychological Sense Of Community ◽  
Spanish Speaking ◽  
Confirmatory Factor ◽  
Psychological Sense

Abstract Psychological sense of community is a concept used to describe how individuals feel about their community. The Brief Sense of Community Scale (BSCS) is an 8-item scale that includes these four domains: membership, needs fulfillment, emotional connection, and influence. It has been used in various contexts and was validated with young adults in Puerto Rico. The purpose of this study was to validate the BSCS for use with Spanish-speaking older adults in Puerto Rico. We conducted face-to-face interviews with a non-probability sample of 154 community- dwelling adults aged 60+ in Puerto Rico. BSCS is comprised of a 5-point likert-type scale with score values ranging from 0 (strongly agree) to 4 (strongly disagree) (total score range 0-32, mean= 24.75, SD= 6.04), and it showed good reliability in our sample (a=.85) and acceptable subscale reliability (membership, a=.85; needs fulfillment, a=.85; influence, a=.66; and emotional connection, a=.69). Five competing factor structures were tested based on prior research using confirmatory factor analysis (CFA). The CFA indicated that a four factor structure from the original scale was the best fit (χ² (16) =25.9; p=.06; RMSEA=.06; CFI=.98; TLI=.97; SRMR=.04). The BSCS showed significant correlations in the expected direction with quality of life (r=.41), social isolation (r=.34), loneliness (r=.27) and self-rated health (r=.17). We conclude that the BSCS is a valid and reliable scale for measuring psychological sense of community with community-dwelling Spanish-speaking older adults in Puerto Rico. Future research should confirm and extend our findings with other Spanish-speaking older adult populations.

Feasibility and reliability of a self-administered geriatric assessment tool for Spanish-speaking Mexican older adults with cancer

2021 ◽  
Author(s):  
Andrea Pérez-de-Acha-Chávez ◽  
Carolina Gómez-Moreno ◽  
José Carlos Aguilar-Velazco ◽  
María Luisa Moreno-García ◽  
Concepción Pérez-de-Celis-Herrero ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Assessment ◽  
Assessment Tool ◽  
Spanish Speaking

scholarly journals Multiple chronic condition profiles and survival among oldest-old male patients with hip fracture

2018 ◽  
Vol 74 ◽  
pp. 184-190 ◽  
Author(s):  
Jinmyoung Cho ◽  
Eileen M. Stock ◽  
I-Chia Liao ◽  
John E. Zeber ◽  
Brian K. Ahmedani ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Chronic Condition ◽  
Oldest Old ◽  
Multiple Chronic Condition ◽  
Male Patients
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