Reliability and validity of the Mandarin version of the Continuity Assessment Record and Evaluation for older people who are transferred between hospitals and nursing homes in China

Jiang, Cheng; Zha, M.; Chen, Mei-Fen; Jiang, Yijun; Chang, Polun; Cui, Yanyan; Jiang, Liping

doi:10.1111/hsc.12951

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…Our research team translated CARE into Chinese. 29 The internal consistency reliability of CARE had an overall Cronbach's α coefficient >0.6 and intraclass correlation coefficient >0.8. The Chinese version of CARE has shown good reliability and validity in its application to older adults in acute and postacute institutions.…”

Section: Instrumentsmentioning

confidence: 93%

“…The Continuity Assessment Record and Evaluation (CARE) is a comprehensive geriatric syndrome assessment tool for older adults developed by Medicare and the Paramedical Services in the USA. Our research team translated CARE into Chinese 29. The internal consistency reliability of CARE had an overall Cronbach’s α coefficient >0.6 and intraclass correlation coefficient >0.8.…”

Section: Methodsmentioning

confidence: 99%

“…Gait instability was defined as needing help with walking across a small room and/or transferring from bed to chair 30. Detailed explanations of these symptoms have been reported previously 29 31. The geriatric syndromes assessment component of the questionnaire was used in this study.…”

Section: Methodsmentioning

confidence: 99%

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Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Zha

Lü

Jiang³

et al. 2023

BMJ Open

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ObjectivesThis study aimed to explore the potential risk factors associated with toileting-related falls in community-dwelling older adults who presented to the emergency department and were subsequently hospitalised.DesignThis was a cross-sectional study.Setting and participantsThis study was conducted in two teaching hospitals in Shanghai, China between October 2019 and December 2021 among community-dwelling adults aged ≥60 years.MethodsIn-person interviews, physical assessment and medical record review were performed to collect data on the characteristics and risk factors of falls. Associations of toileting-related falls with demographic characteristics and geriatric syndromes were examined using logistic regression models.Main outcome measuresPotential risk factors for toileting-related falls.ResultsThis study included 419 older patients with a mean age of 73.8±9.7 years. Among 60 (14.3%) patients with toileting-related falls (mean age: 78.8±9.2 years), 63.3% of toileting-related falls, mainly occurred between 00:00 and 05:59 hours, compared with 17.3% of non-toileting-related falls, which primarily occurred during the daytime. The rate of recurrent falls (35%) was significantly higher in the toileting-related falls group than in the non-toileting-related falls group (21.2%) (p=0.02). Logistic regression showed that visual impairment (OR 2.7, 95% CI 1.1 to 7.1), cognitive impairment (OR 3.3, 95% CI 1.3 to 8.4), gait instability (OR 3.1, 95% CI 1.1 to 8.8) and urinary incontinence (OR 3.4, 95% CI 1.2 to 9.9) were strongly associated with toileting-related falls. Twenty-three (38.3%) patients in the toileting-related falls group had moderate and severe injuries, compared with 71.7% in the non-toileting-related falls group (p<0.05).ConclusionsThis study revealed that patients who reported toileting-related falls were more likely to have cognitive impairment, urinary incontinence, gait instability, visual impairment than patients who fell during other activities. Social and healthcare professionals should prioritise the management of toileting activities in older patients and provide targeted interventions to those in the high-risk group.

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Section: Instrumentsmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

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Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Zha

Lü

Jiang³

et al. 2023

BMJ Open

Self Cite

View full text Add to dashboard Cite

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“…Internal consistency was assessed through Cronbach's alpha scores. According to the statement, the reliability level anticipated for the researchuseable measurement tools is 0.70 or higher (25,28). Considering the internal consistency of the subdimension and reliability of the Turkish version of the CLDQ, the total Cronbach's alpha was 0.95.…”

Section: Internal Consistencymentioning

confidence: 99%

Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease

Çelik¹,

Bektaş

2023

Journal of Basic and Clinical Health Sciences

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Purpose: Chronic liver disease (CLD) is a major public health problem worldwide and it leads to increase in morbidity and mortality. This study aimed to evaluate the psychometric properties of Chronic Liver Disease Questionnaire (CLDQ) in Turkish patients with Chronic liver disease (CLD). Material and Methods: The study was conducted in the methodological research design. Using a convenience sampling method 235 patients with CLD in a university hospital, located in southern Turkey. The instrument’s psychometric properties were examined to determine factor analysis, criterion-related validity, internal consistency, interrater reliability. Results: The patients average age was 55.48±12.02 years. Viral hepatitis was the most common etiology of CLD (53.6%). The total sample had a mean CLDQ score of 4.73±1.12. The factor analysis revealed that the scale consists of six sub-dimensions. No item was removed from the original scale. Cronbach's alpha coefficient was found as 0.95. Conclusion: Valid and reliable measurement tools are needed to evaluate health related quality of life (HRQoL) in patients with liver disease. Chronic Liver Disease Questionnaire is a valid and reliable measurement instrument.

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Factors affecting health care users’ first contact with primary health care facilities in north eastern China, 2008–2018

et al. 2021

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BackgroundChina set out the vision to establishing a hierarchical medical system, with primary health care (PHC) facilities serving health care users’ first contact. Common ailments were listed, supported by a series of auxiliary policy measures. We aim to assess whether these policies were effective to prompt users’ preference to PHCs within these contexts.MethodsUsing data from three waves of National Health Service Survey, we examined trends in care users’ first contact with PHC facilities in Jilin, a north eastern province, during 2008–2018. We analysed trends and factors affecting care users’ choices, stratified by type of diseases and urban–rural settings.ResultsFrom 38 823 respondents, the survey identified 3302 health care users who sought outpatient care. 54.92% and 82.49% with diseases recommended to PHC, in urban and rural Jilin, respectively, contacted PHC facilities first. While 33.51% and 61.19% with diseases not recommended to PHC did so. Care users’ first contact with PHC facilities followed an inverse U shape during 2008–2018. Such trends were more profound among care users with hypertension and/or diabetes. Neither social health insurance coverage nor contracting with family doctors was associated with care users’ first contacts. Only 1.25% care users had referral experiences. Low perceived quality was the main barrier to choose PHC facilities.ConclusionHealth care users sought PHC in a chaotic manner in Jilin. None of the recent efforts seemed effective in prompting their preference to PHC facilities. Without levering quality of PHC, an effective hierarchical medical system could be hardly forged in China.

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Reliability and validity of the Mandarin version of the Continuity Assessment Record and Evaluation for older people who are transferred between hospitals and nursing homes in China

Cited by 3 publications

References 23 publications

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Association between toileting and falls in older adults admitted to the emergency department and hospitalised: a cross-sectional study

Psychometric Properties of the Chronic Liver Disease Questionnaire in Patients with Chronic Liver Disease

Factors affecting health care users’ first contact with primary health care facilities in north eastern China, 2008–2018

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