A5102999988- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Balance, Gait, and Falls Prevention
- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Health disparities and outcomes
- Cerebral Palsy and Movement Disorders
- Emergency and Acute Care Studies
- Pharmaceutical Practices and Patient Outcomes
- Dementia and Cognitive Impairment Research
- Heart Failure Treatment and Management
- Healthcare cost, quality, practices
- Blood Pressure and Hypertension Studies
- Injury Epidemiology and Prevention
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Stroke Rehabilitation and Recovery
- Aging and Gerontology Research
- Urinary Tract Infections Management
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Pelvic floor disorders treatments
- Colorectal Cancer Screening and Detection
Yale University
2015-2024
University of Maryland, Baltimore
2022
Brigham and Women's Hospital
2022
Advisory Board Company (United States)
2013-2019
IFC Research (United Kingdom)
2018-2019
Online Technologies (United States)
2018-2019
University of California, San Francisco
2013-2018
Yale New Haven Hospital
2004-2018
Mayo Clinic in Florida
2017
Mayo Clinic in Arizona
2017
Since falling is associated with serious morbidity among elderly people, we investigated whether the risk of could be reduced by modifying known factors.
We developed the Falls Efficacy Scale (FES), an instrument to measure fear of falling, based on operational definition this as “low perceived self-efficacy at avoiding falls during essential, nonhazardous activities daily living.” The reliability and validity FES were assessed in two samples community-living elderly persons. showed good test-retest (Pearson's correlation 0.71). Subjects who reported because falling had higher scores, representing lower or confidence, than subjects not...
Falls warrant investigation as a risk factor for nursing home admission because falls are common and associated with functional disability they may be preventable.
To determine if short-term exercise reduces falls and fall-related injuries in the elderly.A preplanned meta-analysis of seven Frailty Injuries: Cooperative Studies Intervention Techniques (FICSIT)--independent, randomized, controlled clinical trials that assessed intervention efficacy reducing frailty elderly patients. All included an component for 10 to 36 weeks. Fall injury follow-up was obtained up 2 4 years.Two nursing home five community-dwelling (three health maintenance...
Journal Article Fear of Falling and Fall-Related Efficacy in Relationship to Functioning Among Community-Living Elders Get access Mary E. Tinetti, Tinetti 1Department Internal Medicine, Yale University School Medicine Search for other works by this author on: Oxford Academic PubMed Google Scholar Carlos F. Mendes De Leon, Leon 2Department Epidemiology Public Health, John T. Doucette, Doucette Dorothy I. Baker 3Yale Nursing Gerontology, Volume 49, Issue 3, May 1994, Pages M140–M147,...
Quality-measurement and payment-for-performance programs encourage physicians to deliver care that is consistent with practice guidelines. In the treatment of patients multiple medical problems, adherence disease-specific guidelines often requires use 10 or more medications, yet marginal benefits adverse effects 8th, 9th, 10th medication in such are not known. The authors emphasize importance considering patients' quality life, preferences, values when prescribing medications for those...
BACKGROUND: Serious fall injury represents a little studied, yet common and potentially preventable, cause of morbidity mortality among older persons. We determined the frequency of, risk factors for, experiencing serious events persons in community. SUBJECTS: A representative sample 1103 community‐living aged 72 years underwent comprehensive baseline 1‐year evaluations. MAIN OUTCOME MEASURES: During median 31 months follow‐up, data were obtained using calendars. Injury from telephone...
The most common chronic condition experienced by adults is multimorbidity, the coexistence of multiple diseases or conditions. In patients with coronary disease, for example, it sole in only 17% cases.1 Almost 3 4 individuals aged 65 years and older have conditions, as do 1 younger than who receive health care.2 Adults conditions are major users care services at all adult ages, account more two-thirds spending.2 Despite predominance however, reimbursement remains linked to discrete...
OBJECTIVES: The purpose of this study was to determine the association between driving cessation and depressive symptoms among older drivers. Previous efforts in area have focused on factors associated with cessation, not consequences having stopped. DESIGN: Cohort SETTING: Urban community PARTICIPANTS: A survey administered 1989 surviving noninstitutionalized members New Haven Established Populations for Epidemiologic Studies Elderly (EPESE) cohort. Of 1316 respondents, 502 were active...
Background. Several preventive strategies have proven effective at reducing the occurrence and rate of falling. It remains to be determined, however, whether, what extent, falls and/or fall injuries are independent determinants adverse functional outcomes in older persons.
Identification of different types falls and fallers among elderly persons might aid in the targeting preventive efforts. In a representative sample 336 community elderly, subjects were assigned to Frail, Vigorous, or Transition groups based on observed patterns clustering demographic, physical, psychological variables. The frequency circumstances these three then ascertained. As expected, incidence falling one year follow‐up was highest Frail group (52%) lowest Vigorous (17%). However, 22%...
Journal Article 4 Fear of Falling and Low Self-efficacy: A Cause Dependence in Elderly Persons Get access Mary E. Tinetti, Tinetti Department Medicine Public Health, Yale University School Search for other works by this author on: Oxford Academic PubMed Google Scholar Lynda Powell Epidemiology Gerontology, Volume 48, Issue Special_Issue, September 1993, Pages 35–38, https://doi.org/10.1093/geronj/48.Special_Issue.35 Published: 01 1993
An alternative approach to improving the quality of care — especially for patients with multiple conditions, severe disability, or short life expectancy is determine whether patients' individual health goals (e.g., symptoms and functional status) are being met.
Performance-based measures of physical performance were examined for an older cohort relatively high-functioning men and women. Relationships between baseline sociodemographic health status characteristics also examined. Three-year pattern changes in are described, predictors change investigated A women, aged 70–79, was identified 1988 by subsampling from three community-based studies on the basis cognitive function. Baseline in-home assessments included tests measurement status. summary...
BACKGROUND : Approximately 10% of nondisabled, community‐dwelling adults aged 75 years and older lose independence in basic activities daily living (ADLs) each year. The purpose this study was to evaluate whether simple tests physical performance could identify adults, independent their ADLs, who were at increased risk for the onset functional dependence. METHODS Among a representative cohort 1103 72 older, we evaluated 664 subjects cognitively intact ADLs baseline interview. All members had...
IMPORTANCE The effect of serious injuries, such as hip fracture and head injury, on mortality function is comparable to that cardiovascular events. Concerns have been raised about the risk fall injuries in older adults taking antihypertensive medications. low reported clinical trials healthy may not reflect with multiple chronic conditions. OBJECTIVE To determine whether medication use was associated experiencing a injury nationally representative sample adults. DESIGN, PARTICIPANTS, AND...
The eight FICSIT (Frailty and Injuries: Cooperative Studies of Intervention Techniques) sites test different intervention strategies in selected target groups older adults. To compare the relative potential these interventions to reduce frailty fall‐related injuries, all share certain descriptive (risk‐adjustment) measures outcome measures. This article describes shared measures, which are referred as Common Data Base (CDB). description is divided into four sections according committees...
Recognizing the importance of identifying fallers at risk for injury, author studied factors associated with injury during falls by ambulatory nursing home residents. Forty‐eight 79 subjects (61%) fell their first year residence. Fourteen suffered a serious injury. Among fallers, lower extremity weakness were more likely to be injured than without (42 versus 22% injured). On other hand, needed less help noninjured (14% least 2 activities daily living 35%), and depressed (7 38%). Although...