Development of a Screening Scale for Community-dwelling Older Adults with Multiple Care Needs

Chen, Meng Chin; Chen, Kuei‐Min; Wang, Jing Jy; Hsu, Hui Fen

doi:10.1080/07317115.2020.1716127

Cited by 4 publications

(7 citation statements)

References 19 publications

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“…For example, the Edmonton Frail Scale does not specify a cut‐off score for identifying high frailty risk, and the Frailty Staging System can only be used to evaluate common dysfunctions (De Lepeleire, Iliffe, Mann, & Degryse, 2009). Recently, Chen, Chen, Wang, and Hsu (2020) have developed the High‐need Community‐dwelling Older Adults Screening Scale (HCOASS). The HCOASS, which incorporates physical, mental and social aspects, is a comprehensive screening tool with relatively high reliability, validity and accuracy (Chen, Hsu, & Chen, 2020).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan

Chang

Chen

et al. 2020

Health Soc Care Community

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By early screening, the high-need older adults who require multiple care needs and resources can be identified and the necessary assistance can then be provided. However, a precise definition of and related research on high-need older adults are limited. Identifying older adults with high needs is of practical urgency. This study aimed to investigate the prevalence of high-need community-dwelling older adults and to identify the characteristic differences between high-need older adults and those without high needs. This cross-sectional descriptive survey research was conducted between July and December 2018 and used a simple random sampling to select older adults aged 65 and older who had lived in the community for at least 3 months. The High-need Community-dwelling Older Adults Screening Scale was used to identify high-need older adults in the community. A total of 818 communitydwelling older adults were surveyed and the prevalence of high-need older adults was 24.1%. Those screened as high-need older adults (n = 197) were 78.58 (SD = 7.60) years old in average, mostly female, widowed or single but living with someone, had chronic illnesses (M = 2.11, SD = 1.41), an elementary school level of education and religious beliefs. Furthermore, differences were found between older adults with high needs (n = 197) and those without high needs (n = 621) where there is a significantly higher proportion of high-need older adults who were 85 years and older, being male, widowed or single, illiterate, living alone, had chronic illnesses and no religious belief. The high prevalence of high-need community-dwelling older adults highlighted the importance of screening. If community care centres are provided with a comprehensive screening tool for finding high-need older adults during home visits, this would lead to timely identification of older adults with potential needs and enhance the preventive nature of home visits.

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Section: Introductionmentioning

confidence: 99%

Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan

Chang

Chen

et al. 2020

Health Soc Care Community

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“…Eligible participants were older adults who (1) lived in the community at least 3 months, (2) were over 65 years old, (3) fluently communicated in Mandarin or Taiwanese, and (4) were screened by the High-Need Community-Dwelling Older Adults Screening Scale (HCOASS; Chen et al, 2020) administered by care coordinators. The HCOASS has 18 questions with a “yes” or “no” response, and scores are summed and range from 0 to 18.…”

Section: Methodsmentioning

confidence: 99%

“…A cutoff score of 5 or greater is used to identify those older adults with high needs. The HCOASS has shown high sensitivity and specificity (Chen et al, 2020). It was not feasible to blind the involved care coordinators and researchers, but the participated older adults were blinded for group allocation.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a Care Delivery Model for High-Need Older Adults in Communities

Chen

Hsu

Yang

et al. 2020

Research on Social Work Practice

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Purpose: This study aimed to test the effectiveness of High-Need Community-Dwelling Older Adults Care Delivery Model (HCOACDM) in Taiwan. Methods: A cluster randomized controlled trial with repeated measures design was conducted in eight community care centers, involving 145 high-need older adults who were assigned to the intervention group or comparison group. The HCOACDM was provided over 6 months. Functional ability, quality of life, depressive symptoms, and health care and social service utilizations were measured at baseline, at 3 months, and 6 months into the intervention. The participants’ satisfaction was measured at the end of 6-month intervention. Results: Positive effects were shown on all variables in the intervention group at both the 3-month and 6-month intervals (all p < .05). The intervention group had a higher satisfaction with care delivery than the comparison group ( p < .05). Discussion: The promising findings supported a long-term implementation of the HCOACDM as applicable and beneficial.

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“…Our international colleagues also contribute important articles. Chen and colleagues present their work to develop a screening scale for "high-need" older adults in the areas of disability, social isolation, dementia, depression, elder abuse, and poverty (Chen, Chen, Wang, & Hsu, 2020). We also have articles describing the development and validation of an Arabic version of the Rating Anxiety in Dementia Scale (Feghali, Koubaissy, Fares, & Abbas, 2019) and a Russian Version of the Multidimensional scale of Perceived Social Support (Pushkarev, Zimet, Kuznetsov, & Yaroslavskaya, 2018).…”

Section: Advancing Assessment In Clinical Gerontologymentioning

confidence: 99%

Advancing Assessment in Clinical Gerontology

Moye

2020

Clinical Gerontologist

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Development of a Screening Scale for Community-dwelling Older Adults with Multiple Care Needs

Cited by 4 publications

References 19 publications

Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan

Prevalence and demographic characteristics of high‐need community‐dwelling older adults in Taiwan

Effectiveness of a Care Delivery Model for High-Need Older Adults in Communities

Advancing Assessment in Clinical Gerontology

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