No abstract

Items of the Affect Balance Scale, the Life Satisfaction Index-Z and the Philadelphia Geriatric Center Scale together with 22 new items were used in the construction of a happiness scale for the elderly. Items were initially administered to 301 subjects from urban, rural, and institutional settings and correlated with ratings of happiness. A new scale consisting of 24 items was cross-validated on an additional 297 subjects. Test-retest reliability scores were obtained on 56 subjects. Results indicated that the new scale was a better predictor of "avowed happiness" in both validation and cross-validation samples than the existing scales used for comparison. Moreover, the new scale's test-rated reliability was within an acceptable range for this type of scale.

Considerable burden is reported by informal caregivers of older individuals with cognitive impairment. Significant progress in the understanding of determinants of this burden has been achieved. However, further progress could be attained if we considered important methodological issues that may have limited our understanding of caregiver burden. These issues include subgroups of care recipients and caregivers, measurement issues, research design, and statistical techniques. Fifty-three studies published between 1980 and 1997 (inclusive) that focused on caregiver burden were abstracted to determine the extent to which the methodological issues discussed above were considered. Overall, we found considerable variability among the studies surveyed. Further understanding of the caregiving process and reductions in caregiver burden will depend on the attention to methodological issues and understanding of burden across the whole caregiving career.

There is a growing need for an integrated health information system to be used in community, institutional and hospital based settings. For example, changes in the structure, process and venues of service delivery mean that individuals with similar needs may be cared for in a variety of different settings. Moreover, as people make transitions from one sector of the healthcare system to another, there is a need for comparable information to ensure continuity of care and reduced assessment burden. The RAI/MDS series of assessment instruments comprise an integrated health information system because they have consistent terminology, common core items, and a common conceptual basis in a clinical approach that emphasizes the identification of functional problems.

Background: The objective of this study was to examine the Minimum Data Set (MDS) and Geriatric Depression Scale (GDS) as measures of depression among nursing home residents.