ContextCognitive function in older adults is related to independent living and need for care. However, few studies have addressed whether improving cognitive functions might short- or long-term effects on activities independently.ObjectiveTo evaluate 3 training interventions improve mental abilities daily functioning older, independent-living adults.DesignRandomized, controlled, single-blind trial with recruitment conducted from March 1998 October 1999 2-year follow-up through December...

Journal Article MDS Cognitive Performance Scale© Get access John N. Morris, Morris 1Hebrew Rehabilitation Center for AgedBoston Search other works by this author on: Oxford Academic PubMed Google Scholar Brant E. Fries, Fries 2Institute of Gerontology and School Public Health, University Michigan, Ann Arbor VA Medical David R. Mehr, Mehr 3Department Family Community Medicine, Missouri Health Sciences Catherine Hawes, Hawes 4Research Triangle Institute, Research ParkNorth Carolina Charles...

ECLINE IN COGNITIVE ABILI-ties has been shown to lead an increased risk of difficulty in performing instrumental activities daily living (IADL). 1-5However, whether interventions maintain or enhance cognitive abilities older adults will prevent delay these functional difficulties is unclear.Prior with have targeted those deficits disabilities and focused on remediation rather than prevention. 6,7rior studies that can improve normal elders but not included outcome measures limited by small,...

Background. Dependency in activities of daily living (ADLs) is a reality within nursing homes, and we describe ADL measurement strategies based on items the Minimum Data Set (MDS) creation distributional properties three self-performance scales their relationship to other measures. Methods. Information drawn from four data sets for multistep analysis was guided by study objectives: (1) identify subcomponents ADLs that are present MDS battery; (2) demonstrate how these could be aggregated...

The Karnofsky Performance Status Scale (KPS) is widely used to quantify the functional status of cancer patients. However, limited data exist documenting its reliability and validity. KPS in National Hospice Study (NHS) as both a study eligibility criterion an outcome measure. As part intensive training, interviewers were instructed tested on guidelines for determining levels After 4 months field experience, again based narrative patient descriptions. interrater 47 NHS was found be 0.97....

OBJECTIVES: To examine the frequency distributions and interrater reliability of individual items interRAI Acute Care instrument. DESIGN: Observational study a representative sample older inpatients; duplicate assessments conducted on subsample by independent assessors to reliability. SETTING: medical, acute geriatric orthopedic units in 13 hospitals nine countries. PARTICIPANTS: Five hundred thirty‐three patients aged 70 (mean age 82.4, range 70–102) with an anticipated stay 48 hours or...

Objectives To determine the effects of cognitive training on abilities and everyday function over 10 years. Design Ten‐year follow‐up a randomized, controlled single‐blind trial (Advanced Cognitive Training for Independent Vital Elderly ( ACTIVE )) with three intervention groups no‐contact control group. Setting Six U.S. cities. Participants A volunteer sample 2,832 persons (mean baseline age 73.6; 26% African American) living independently. Intervention Ten sessions memory, reasoning, or...

A multi-domain suite of instruments has been developed by the interRAI research collaborative to support assessment and care planning in mental health, aged disability services. Each instrument comprises items common other specialized exclusive that instrument. This study examined reliability from five supporting home care, long term palliative post-acute care. Paired assessments on 783 individuals across 12 nations were completed within 72 hours each trained assessors who blinded others'...

OBJECTIVE : To describe the results of an international trial home care version MDS assessment and problem identification system (the MDS‐HC), including reliability estimates, a comparison MDS‐HC reliabilities with same items in 2.0 nursing instrument, examination types problems found clients using MDS‐HC. DESIGN Independent, dual home‐care agencies by trained clinicians draft MDS‐HC, additional descriptive data regarding profiles for clients. SETTING AND PARTICIPANTS Reliability from...

Purpose: The aim of this study was to validate a pain scale for the Minimum Data Set (MDS) assessment instrument and examine prevalence in major nursing home subpopulations, including type admission cognitive status. Design Methods: This considered validation MDS items derivation performed against Visual Analogue Scale (VAS), using Automatic Interaction Detection. data describe 95 postacute care patients who are able communicate. is then used retrospective analysis 34,675 Michigan residents....

OBJECTIVE : To characterize changes in key aspects of process quality received by nursing home residents before and after the implementation national Resident Assessment Instrument (RAI) other Omnibus Budget Reconciliation Act (OBRA) reforms. DESIGN A quasi‐experimental study using a complex, multistage probability‐based sample design, with data collected (1990) (1993) RAI OBRA provisions. SETTING AND PARTICIPANTS Two independent cohorts (n > 2000) random 254 facilities located...

Objectives: To determine the prevalence of analgesics used, their prescribing patterns, and associations with particular diagnoses medications in patients persistent pain. Design: Cross‐sectional study. Setting: Nursing homes from 10 U.S. states. Participants: A total 21,380 nursing home residents aged 65 older Measurements: Minimum Data Set (MDS) assessments on pain, analgesics, cognitive, functional, emotional status were summarized. Logistic regression models identified associated...

OBJECTIVE : To describe the reliability of new assessment items and their clinical utility as judged by experienced nurse assessors, based on results from field test Version 2.0 Resident Assessment Instrument (RAI). DESIGN Independent dual residents nursing facilities staff nurses using a draft minimum data set (MDS). SETTING AND PARTICIPANTS A total 187 randomly selected 21 homes in seven states volunteered to MDS. MEASUREMENT The full array MDS included measures following areas: Background...

Objective: To determine risk factors associated with the formation of stage II—IV pressure ulcers in nursing homes. Design: Since incidence rate for ulcer varies among homes, homes were divided into tertiles based on these rates. Pooled logistic regression was used to model which are both high and low Setting: 78 National HealthCorp Subjects: We studied 4232 home residents free admission a facility at 3‐months follow‐up. All remained least 3 additional months maximum 21 months. Measurements:...

To determine the prevalence of delirium symptoms at time admission to post-acute facilities, persistence in this setting, and association with functional recovery.Prospective cohort study.Eighty-five care facilities: 55 rehabilitation hospitals 30 skilled nursing facilities 29 states.Five hundred fifty-one consenting patients aged 65 older newly admitted participating from acute hospitals.Data were collected as part a field study effort related Minimum Data Set (MDS). Basic demographic data,...

Abstract Background The objective of this study was to assess the responsiveness Minimum Data Set Activities Daily Living (MDS-ADL) Scale change over time by examining in physical function adults with moderate severe dementia no comorbid illness who had been resident a nursing home for 90 days. Methods Longitudinal data were collected on residents (n = 7001) or 4616) one US state from national (MDS). Severity determined MDS Cognitive Performance (CPS). Physical assessed summing seven items...

Population ageing, the emergence of chronic illness, and shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem setting specific.From 2002, interRAI research collaborative undertook development a suite tools support planning persons with frailty, disability, or mental health problems across settings. The constitutes an early example "third generation" system.The rationale strategy for is described, together description...

In the US, Quality Indicators (QI's) profiling and comparing performance of hospitals, health plans, nursing homes physicians are routinely published for consumer review. We report results largest study inter-rater reliability done on home assessments which generate data used to derive publicly reported quality indicators. sampled in 6 states, selecting up 30 residents per facility who were observed assessed by research nurses 100 clinical assessment elements contained Minimum Data Set (MDS)...

Purpose:This article examines various technical challenges inherent in the design, implementation, and dissemination of health care quality performance measures.Design Methods:Using national state-specific Minimum Data Set data from 1999, we examined sample size, measure stability, creation ordinal ranks, risk adjustment as applied to aggregated facility indicators.Results:Nursing home Quality Indicators now use are multidimensional quarterly estimates incidence-based measures can be...