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I am working on a grant application for a project exploring natural recovery among Alaska Native elders and their pathways to recovery and I am trying to find a survey instrument that focuses on past drinking behaviors and patterns with older adults.
You probably know that book: "Promoting Self-Change From Addictive Behaviors. Practical Implications for Policy, Prevention, and Treatment" by Klingemann, Harald; Carter-Sobell, Linda (Eds.) 2007
Almost everybody who ever studied the self-change phenomenon is in the book. Why not to contact the authors directly when inquiring about specific scales?
There is also a very nice study by Mohatt et al. on self-change among Native Alaskans:
Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives. by Gerald V Mohatt, Stacy M Rasmus, Lisa Thomas, James Allen, Kelly Hazel, G Alan Marlatt , Addiction 03/2008; 103(2):205-15.
but I guess you know that one well.
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12 week exercise intervention using power training (20-50% 1RM) or whole body vibration. Complete 3x10 of 4 lower body exercises with 1-3 minutes rest.
Serum collection is early in the morning while fasted using red top vacutainers.
Participants will continue with regular physician care and any prescribed therapy.
All participants are >65 years and long-term care residents.
The presence of comorbidity is common among participants. Diseases range from T2DM, dementia, stroke, hypertension, Alzheimer disease, GERD, and osteoporosis.
Some participants are taking statins.
High sensitivity CRP-you need to use this to see changes in the range that contributes to most cardiovascular risk
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Hi
We have completed a cross-sectional study in home-dwelling older adults (> 70 y) in Norway, and we are also investigate the prevelence of sarcopenia and the dietary intake. We analyze the data now. I look forward to read more about your project, and especially to now more about the protein inake. Have you published anything about that?
inger
Hi, sorry until now I had not seen the comment. We have only researched nursing home. We are in the process of writing articles.
We have analyzed the diet as a whole but not particularly the protein. Regards
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Do support and training programs for older adults with frailty work? I'm looking for literature to support/refute this comment. I'm thinking of lifestyle advice and self-management strategies to improve medication adherence, improve mobility, navigate the health care system, etc. 
With a right balance of support and education, i would think so. Heterogeneity among older adults make it more challenging. In a pilot study completed with pre-frail older people (75+ nonMaori and 60+Maori), we notice that support, particular transport, seem to be more important for those who are frailer and have lower SES.  We will be writing up the findings in the next month. 
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executive functioning = working memory, attention shifting and inhibition if task.
Please suggest me scale who asses all three of them or even i am ready to go with different scales. kindly mention authors also.
I want to use these tests for my m.phil thesis which is non funded and i am unable to bear expenses of publishers. 
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The stroop test which I want to use  in my  thesis project is very expensive, I am student and unable to bear the cost as my research project is non funded. Looking for test to measure executive functioning among older adults and for the purpose i need to adapt and translate stroop test. If anyone have copy rights please share it with me to use. otherwise please suggest me some other scale.
On this page you can find free-to-use psychological experiences:
such as the stroop task:
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I have ANT data collected from a sample of older adults and I am trying to figure out the best way to interpret it. Are there normative ranges or cut of scores that have been established? Your assistance is appreciated
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I’m planning to publish a protocol of qualitative systematic review on the topic of “how does stigma associated with living in a care home influence the development or maintenance of depression among older adults”. But I am struggling to find a journal to publish a protocol without any article-processing charge. Any suggestions would be greatly appreciated.
Thank you very much Antonio! Your suggestion is very useful. Many thanks 
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I'm involved in a pilot project to assess the challenges and benefits for hospitalized older adults awaiting placement to long-term care who are seeking to access and utilize resources in the community for enhanced wellness thru increased socialization, creative stimuli and meaningful activities.  
Wondering if there are similar initiatives elsewhere for comparison and knowledge sharing.  
Thanks Jordi
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I would like to use Dr. Palmore's research tool (Facts on Aging) to assess first semester student nurses' knowledge about older adults. 
Thank you,
Dr. S. Bosfield, EdD, MSN, RN
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Does anyone  have suggestions on self-reported measurement that can differentiate  what older adults can do their activities  from what older adults are actually doing their activities? Thanks so much for your suggestions. 
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Social innovation can be defined generally as effective practical responses to a variety of major social challenges - in this case, demographic ageing and the health of older adults. This may come out of the efforts by INNOVAGE, Kobe Centre in Japan, socialinnovationinhealth.org or elsewhere.  I am looking for opinions about particularly unique ones that improve health and/or wellbeing in the extra years of life we are living!
A single case in a small town in rural Australia consisted of the local Aged Care Facility receiving weekly visits from a naturopath and a massage therapist.
These practitioners provided minimal cost brief massages - either feet or neck and shoulders to residents. The regular weekly contact and the physical touch made a positive impact on the psychological wellbeing of residents that was noted by the nursing staff.
Additionally, the naturopath consulted with kitchen staff to develop a menu that included local organic produce - eggs, vegetables and fruit from local growers. Residents enjoyed knowing that they were supporting local growers and eating local produce.
This innovative project provided a practical response to the problems of social isolation and alienation that may occur for residents of Aged Care facilities. The project also addressed the problem of poor quality (by Australian standards) meals by replacing pre-prepared and packaged foods with fresh local produce that kitchen staff were very happy to prepare knowing that their efforts contributed to the local community and economy. By investing in local producers who supplied high quality organic fruit and vegetables the project also promoted sustainable farming practices.
This local innovation addressed a number of core health issues in practical ways that benefited the health of older aging adults. Social, psychological, nutritional, and wider environmental issues were addressed with simple practical solutions.
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I am seeking examples of articles that consider the use of vignettes in focus groups and interviews with older adults ? 
Thanks Jenny 
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Hi, 
I would like to measure, crude is sufficient as a tertiary outcome, dietary patterns in patients with heart failure. Which would you recommend: Harvard FFQ, Dietary History Questionnaire, Block FFQ?  I would like to avoid 3 day diet logs given the time to abstract and enter data, and specialized programs needed to analyze the data. Thoughts/suggestions much appreciated. 
Thanks, 
Jennifer
Hi Jennifer L. Reed,
I think this article will be useful to you. Just go through the article.
But choosing of questionnaire depends upon your study design and your research question.
If you want to prove the association between previous dietary habits and heart failure, then you have to collect data on food habits of patients. It is suitable to community based studies.
If you want to know the existing dietary habits and outcome of heart failure patients, then you have to ask the patients to maintain dietary records. I think it is more suitable to hospital based studies.
To avoid bias you have to select the newly diagnosed heart failure patients. Because changes in dietary habits will start immediately after diagnosing the hear failure. Because Cardiologist will advise the patient and their relatives to change dietary habits immediately.
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I am working in my Research about the effective factors on Future Orientation in Elder people. Although I have one I think It is not suitable enough for my sample.
Dear Forough, 
It looks like it would be the same scale but it is validated in different countries: 
Seginer, R., Nurmi, J.E. & Poole, M.E. (1999). Future
orientation questionnaire (revised), Haifa, Israel:
University of Haifa.
Seginer, R., Nurmi, J.E. &Poole, M.E. (1994). Future
orientation questionnaire (revised), Haifa, Israel:
University of Haifa.
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I'm doing my Masters thesis and I'm trying to develop a toolkit which would suggest designers what requirements methods to be used based on the participants human capability. Is there any similar toolkit developed. Please let me know if you know any. 
You may look at w6h.org
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We are running a study where we measure grip strength to older patients in acute medical wards to flag up those with low levels who might be at risk of poor healthcare outcomes. We know that grip strength vary according to age, gender, and dominant hand, but I am not aware that there is any research on whether the grip strength of a patient vary when it is being tested before and after meals. It would be helpful if anyone can share their experiences or refer me to any useful references. 
I can't see the relevance of this study. If the client has the motivation to eat and the skills involved - what is the significance of grip strength after meals? How will your study provide information that is meaningful to clients healthcare outcomes? What are the assumptions/hypotheses underpinning your study?
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Dear all researchers,
Currently, I am conducting a crowdsourcing research to understand your opinions regarding the important outcome measure items/outcomes changes that indicate clinically significant low back pain (LBP) improvements in older adults. http://www.allourideas.org/olderpeoplewithlowbackpain
I would appreciate your help in ranking the relative importance of different potential outcome measure items.
When click on the link, 2 potential outcome measures will be displayed. You are requested to pick the outcome item that can better indicate low back pain improvements in older adults. Once you submit your answer, another random pair of outcome items will be shown for your comparison. You can quit the questionnaire at any time.  
Additionally, you can add other outcome items for comparison if you think that some better options are missing. Please feel free to share the link to your professional groups/associations through different online media (e.g. facebook or twitter) if you want. Thanks in advance for your help!
Arnold
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To define low grip strength, Fried's original frailty criteria uses < 20kg for women, and < 30kg for women. Are these cut-off points still relevant in the modern literature? Similarly, what are the best cut-off points to define low walking speed? 
Plase see this paper:
de Souza Barbosa JF, Zepeda MU, Béland F, Guralnik JM, Zunzunegui MV, Guerra RO. Clinically relevant weakness in diverse populations of older adults participating in the International Mobility in Aging Study.
Age (Dordr). 2016 Feb;38(1):25. doi: 10.1007/s11357-016-9888-z. Epub 2016 Feb 11.
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I am a single researcher (undertaking PhD) looking at the feasibility of a diabetes prevention programme for older adults.
As Marianne suggested, you would benefit from a consultation with a biostatistician, especially because you seem to be on your own. The sample size depends on the difference between the variable(s) that interest you. If this difference is substantial, a smaller group size will suffice, as you can imagine.
If the difference between the variables of interest tends to be small, it is far more important to pick the size of group that will give you useful information.
Best,
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Mostly concerned with strength/muscle function. 
Hi Sam,
I've attached an article to this message that might be of your interest. The study investigated the effects of a 24-week strength training program on body composition of elderly women. The paper was not written in English though. You may want to check the abstract. I hope it helps.
With best wishes,
Joao
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It's clear that older adults often have difficulty reconciling their chronological/biological age with their mental and perceived age. Does anyone have research on why and how this discrepancy occurs?
One recent study: Subjective physical and cognitive age among community-dwelling older people aged 75 years and older: Differences with chronological age and its associated factors.
By Ihira, Hikaru; Furuna, Taketo; Mizumoto, Atsushi; Makino, Keitaro; Saitoh, Shigeyuki; Ohnishi, Hirofumi; Shimada, Hiroyuki; Makizako, Hyuma
Aging & Mental Health, Vol 19(8), Aug 2015, 756-761.
Objective: The aim of this cross-sectional study was to determine the associations between self-reported subjective physical and cognitive age, and actual physical and cognitive functions among community-dwelling older people aged 75 years and older. Method: The sample comprised 275 older adults aged 75–91 years. Two questions were asked regarding subjective age: ‘How old do you feel physically?’ and ‘How old do you feel cognitively?’ To assess physical functions, we measured handgrip strength, knee extension strength, standing balance and walking speed. Tests of attention, executive function, processing speed and memory were performed to assess actual cognitive function. Results: Subjective physical and cognitive age was associated with performance on all of the physical and cognitive tests, respectively (p < 0.01). We also found that older adults who reported themselves as feeling older than their chronological age had a slower walking speed and lower scores for word-list memory recall than those who did not report themselves as feeling older than their actual age. Conclusion: These findings suggest that promoting a fast walking speed and good memory function may help to maintain a younger subjective physical and cognitive age in older adults aged 75 years and older. (PsycINFO Database Record (c) 2015 APA, all rights reserved)
A researcher
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A lot of Spanish researchers use the Lawton & Brody scale in Spanish language. But no one cites in which article it was validated in this language...
Anyone knows in which article was validated this scale in Spanish?
Thank you all.
A researcher
Vergara I, Bilbao A, Orive M, Garcia- Gutierrez S, NavarroG, Quintana JM (2012). Validation of the Spanish version of the Lawton IADL Scale for its application in elderly people. Health and quality of life outcomes 10(1):130
A researcher
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Actualy in Master 2 of psychology in university of Paris 8, I realize
my internship of Master's degree in a nursing home.
I'd like to explore the effect of mindfulness intervention for caregivers AND the effect on care home residents. Only caregivers will participate in the intervention.
A researcher
There are several articles you may find relevant, Florence.  I could send you some of them if you emailed me at:  alistair@cali.co.uk
For example, there's Paller, K. A., Creery, J. D., Florczak, S. M., Weintraub, S., Mesulan, M. M., Reber, P. J. et al. (2014) Benefits of mindfulness training for patients with progressive cognitive decline and their caregivers.  American Journal of Alzheimer's Disease and other dementias.  published online 25th August 2014: DOI: 10.1177/1533317514545377 and various other articles, which it may be a bit clumsy to list here.  There's work on family caregivers of people with dementia, and you may also find relevance in articles such as Singh's work on increasing happiness of people with learning disabilities by providing their (paid) caregivers with mindfulness training - e.g. Nirbhay N. Singh, Giulio E. Lancioni, Alan S.W. Winton,
Robert G. Wahler, Judy Singh & Monica Sage (2004)  Research in Developmental Disabilities 25  207–218.  Another one I could send you if you haven't got it is Brittany F. Escuriex & Elise E. Labbé (2011) Health Care Providers’ Mindfulness and Treatment Outcomes: A Critical Review of the Research Literature.  Mindfulness, 2, 242-253.  Alistair Smith
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Hello everyone,
I would like to discuss a little about proposed cut-points for physical activity in individuals with functional impairment (eg. Patients with peripheral arterial disease). Is there a more appropriate proposition?
A good part of the available studies is based on cut-points proposed by Freedson et al. 1998 (young adults) and Copeland et al. 2009 (elderly without functional changes). To what extent these propositions may be underestimating the physical activity intensity in elderly individuals with functional limitations?
Best, Bruno.
I used the GT3X to compare the level of activity of nonfrail and frail elderly and many of the frail ones had functional limitations. I understand that the accelerometer might underestimate the level of energy expenditure of the activity, but not the intensity. Even though we found good relationships between the accelerometer variables and the VO2 peak of the participants.
Best Regards, 
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I welcome your usual great views.
No, knowledge is exactly similar to the Sun, which is equally shining on the Earth.
Regards, Emad
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this research is about the effect of transcranial direct stimulation targeting M1 on postural control
One explanation could be the SAID Principle out of exercise science (specific adaptation to imposed demand), or maybe the intervention did adress only the static part of the nervous system. If I remember correctly, different receptors are used in static balance compared to dynamic balance. Maybe even different pathways? Or maybe even different areas of the Motorcortex? Literature could be: Motor Control by Shumway-Cook and Woollacot.
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So I want to conduct a Stroop research among young and older adults. Hypothetically speaking there is no literature on what is the usual drop out rate for participants of this type of research. Is there a general attrition value to be used in sample size calculation, and is there literature to support that value?
Dear RG colleague,
Determining the sample sizes involve resource and statistical issues. Usually, researchers regard 100 participants as the minimum sample size when the population is large. However, In most studies the sample size is determined effectively by two factors: (1) the nature of data analysis proposed and (2) estimated response rate.
For example, if you plan to use a linear regression a sample size of 50+ 8K is required, where K is the number of predictors. Some researchers believes it is desirable to have at least 10 respondents for each item being tested in a factor analysis, Further, up to 300 responses is not unusual for Likert scale development according to other researchers.
Another method of calculating the required sample size is using the Power and Sample size program (www.power-analysis.com).
Regards,
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Depression Scale (CES-D) , Modified Mini-Mental State Examination (3MS; range 0–100) ,
The Montreal Cognitive Assessment, MoCA ...?
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'Long-term effects of an intergenerational program on functional capacity in older adults: Results from a seven-year follow-up of the REPRINTS study.'
'Adopt a Care Home: An intergenerational initiative bringing children into care homes.'
Hi Arwhen,
I have attached a copy of "Long-term effects of an intergenerational program on functional capacity in older adults: Results from a seven-year follow-up of the REPRINTS study."
Laura
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I am currently researching if there is a difference between younger and older adults' recalling of names that differ in gender. However, I cannot find any published articles that have investigated males or females that show a recall bias in the gender of the names. If anyone can point me in the right direction that would be really helpful.
Cheers
Nick
Hi Nick,
The only study that came to my mind was the following:
Hope that helps! Cheers
Anika
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Especially, I am interested in research projects that adress dementia and cognitive impairment in older age.
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With increasing age, many adults are found suffering from oral health problems. Cavities is one of the major problem. Do you have any local remedies to control it which we can be refereed to community living older adults.
you can to achieve the control of the cavities with use of: clorhexidine (spray), bubble gum with content of xilitol (sugar free) and nowadays the use of bleaching agents (carbamide peroxide) can to improve the control of S.mutans, and the CHX has a good effects aganist L.acidophillus, then with these agente you can get the control of the cavities.
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Hello, Researchers,
Is anyone studying the costs and benefits of "meme trading' on social media?  Is the effect more negative?  That is, causing fewer neural connections to be formed because passing on "junk memes' is so low cognitive activity.  OR is there some burst of neural development that comes from passing on many slogans and posters?
I  wonder if the cognitive developmental of Facebook and other social media "memes" are being studied.
Older adults tend to use "boilerplate" language when they tell stories.  Key words will trigger a story told with identical phrases.  These older adults are not creating new neural connections, or very few, when they repeat the same phrases.  Do memes function this way and what are their effects on much younger people?
If you use anything of the Memes rule the World dataset slide show attached below, I will appreciate a citation. This is MLA format.
McMillan, Gloria. "Effects of Facebook Memes on the Brain." ResearchGate Accessed 28 Jul 2018. https://www.researchgate.net/post/Effects_of_Facebook_Memes_on_the_brain
Hello Gloria Lee Macmillan,
The exponential growth of social media has made memes a central element in interactive communication. As Dan Sperber rightly observes, they are" cultural replicators" that are symbolic and have specific associations in human mind. Memes spread on social media in shape of a hyperlink, video, image, or phrase which can either  be exactly copied or undergo mutations.While exact replications lack creativity, mutations imposed on memes in the form of addition, omission, and parody represent creativity and involve a  highly complex cognitive engagement.As such, the application of memes in social media is a convention which can lead to cognitive development of both young and adult users.
Best regards,
R. Biria
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I am interested to develop a proposal and carry out research on self reported health stats of older adults residing in different parts of the world. Lets please jointly carry out this research. If you are interested please share your area and contact email address.
 Hi! I'm from Sri Lanka and I would like to collaborate. Please note my email is deepani.siriwardhana.15@ucl.ac.uk.
All the best!
Deepani
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Dear Bente,
I really enjoy reading the two articles you produced on sexuality in older adults in the Int J Sex Health.
Can you inform me about the correct references?
Warm greetings,
Woet Gianotten (calling myself 'consultant in gerontosexology'),
the Netherlands
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Please share in brief
1. how this term can be understood by illiterate elderly?
2. Benefits
3. How Active ageing can be implemented in developing countries?
The way age increases is aging.
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Hi.  Does anyone know of any good references that help explain the process of determining search terms for a systematic review?  I'm embarking on a project titled "the effect of concurrent training (strength and endurance) on strength training outcomes (hypertrophy, power and strength) in strength trained individuals.
any help or guidance would be gratefully appreciated.
Dear Jamie, 
I found your question so relevant for SR developers. For me, no matter how many SR I have done, I always have to check relevant information about how to build a comprehensive search strategy. 
I highly recommend two useful resources: 
  1. The online Cochrane Handbook, especially the Chapter 6.4 for information about developing search strategies (see link 1)
  2. The videos uploaded on the website of the Health Science Library at McMaster University (see the link 2). 
I hope you find these resources useful for developing your search strategy.
Best, 
Juan
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 I need this questionaries to evaluate physical activity level in older adults in Argentina.
I want to compare these questionaies with RAPA and YPAS.
Hi Dibakar Pal, many thanks for your answer, but I'm looking for IPAQ-E for elderly peolple. Have you got avaiable this questionaire?
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Our study explores the diversity of microorganisms thriving on common surfaces found in the gym setting. Our body's normal processes such as breathing is much different from when at rest as compared to when we are active in sports or exercise and we are wondering if this could play a part in perhaps increasing one's vulnerability to infections.
Extreme physical exertion compromises the immune system. However, the peak of the vulnerability in highly trained (professional) athletes coincides with the peak form, i.e. after the tapering down of the extreme training load.
(A personal experience of an amateurish, but highly trained, middle distance runner.)
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Who has defined Active ageing is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age. It applies to both individuals and population groups.But it is not clearly understood how it helps to achieve QOL of older adults. I would like to know this practically from the experience of research of other countries.
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The reference list of the project is quite interesting; I have been working with older adults for many years, and my research interests are in amplification and cognition.  What are you aiming to accomplish with this project?
My goal is to bring about awareness through education on the effects of PTSD. Mainly aimed toward victims friends and family whom are unaware of some of the challenges the sufferer or victim may be experiencing. 
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is there any economical way to calculate objective physical activity other than accelerometer?
You can use pedometers which are less expensive , although less informatoon is obtained.
On the other hand, physical activity questionnaires have error implicit, but are able to classify big groups of population.  Thre are specific for diffrente ages.
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How can Tai Chi softball prevent and delay frailty of older adults?
Show you the abstract
This study was designed to investigate a 10-week training effects of Tai-Chi-Soft-Ball (TCSB), a novel Chinese exercise which combined the elements of Tai Chi and badminton, on physical functional health of private institutionalized older adults. Thirty-four participants were recruited in the training group with 60 minutes per session and two sessions per week TCSB training. Thirty-two participants were recruited simultaneously in the control group (no training). The measurements included the Senior Fitness Test (SFT), AAHPERD Soda Pop Test, self perceptive functional health. Two-way ANOVA/ ANCOVA with repeated measure in one factor was conducted to examine the testing factor (pre-test and post-test of TCSB training) and the effect of groups (training and control group) as well as their interaction effects. The significant training effects were found in training group (six out of eight items of SFT, AAHPERD Soda Pop Test and self perceptive functional health). In control group, significant functional deteriorations were found in SFT (back scratch test, 8-foot up-and-go) and self perceptive functional health. The previous findings showed that TCSB was not only effective in improving; but also in maintaining and decelerating the deterioration of physical functional health of sedentary Chinese older adult
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is true that light therapy can be an alternative treatment for elderly with stress and sleep disruption?
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Teaching profession gives us the opportunity to impact individual students or particular categories of students (minority students, females, older adults).
Yes the impact the teacher makes is purely a characteristics based on two variants the teacher and the students.With the number more in a classroom, how the teacher is perceived by the students is most important.Here the overall personality traits and the academic knowledge and skills do contribute while influencing students. As.As in engineering the teacher key indicators are consultancy, research and technical skills and acceptability by the industry.The impact on individuals student do vary and is a complex one to define.
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What role does nutrition play in alleviating frailty in older adults?
Hi,
You should read this review. This  may help you to answer to your question:
S. GOISSER, S. GUYONNET, D. VOLKERT. THE ROLE OF NUTRITION IN FRAILTY: AN OVERVIEW. The Journal of Frailty & Aging. 2016
Sophie/
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I am undertaking a research project and the major part of which boarders on the financial literacy among the older adults. I wish to find out from experts and colleagues if you could be of assistance in anyway as regards this subject? Thank you.
Dear Razak Mohammed Gyasi, you may look at the following references. Both of them have financial literacy scales. The second one includes a more comprehensive scale. You may use or adapt based on your need. Hope they would be helpful.
  • Lusardi, A., & Mitchelli, O. (2007). Financial literacy and retirement preparedness: Evidence and implications for financial education. Business economics, 42(1), 35-44.
  • Van Rooij, M., Lusardi, A., & Alessie, R. (2011). Financial literacy and stock market participation. Journal of Financial Economics, 101(2), 449-472.
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What do you recommend to develop strength and functional capacity in healthy older adults: training programs, various exercises, high velocity resistance training or classic hypertrophy training, etc. Any suggestions?
Any of the interventions you have mentioned can be utilized with older adults. The choices and order of presentation are not the result of random selection. You mention strength and functional capacity, what do you mean by those terms? Strength is the ability to exert force against an object to change its position or characteristics of motion. Functional capacity can be aerobic capacity (VO2), amount of work achieved per some measure of time, ability to perform activities of daily living, balance, etc.
In establishing an evidence based, legitimate training program the first step is to conduct a needs analysis. Specific tests of characteristics of fitness are identified and administered to determine the individual's strengths and weaknesses. In most cases this involves some sort of test of aerobic capacity, tests of muscular strength and endurance, flexibility, and body composition. In older persons the presence of sarcopaenic obesity requires not just an evaluation of height and weight (BMI) but body composition. If the results demonstrate a lack of fat free mass, resistance training designed to produce muscular hypertrophy is a key component of the program. Strength is always a primary target of training in older persons but most persons advising older individuals for strength training under load them, a strong academic knowledge of strength and conditioning is therefore paramount for persons advising older individuals on exercise, both the ACSM and NSCA offer programs to educate persons about exercise in special populations.
Recent research has shown that of more importance than strength, muscular power is a key component of functional capability that must be addressed. Balance and proprioceptive training has also recently been added to the list of types of training required by older adults, with active men being recommended to add 2 days of balance training to their exercise programs.
Both the NSCA and ACSM are excellent resources through their publications and websites for a wealth of information in this area and should be frequently addressed by anyone seeking to work in this field.  
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I am interested in how the Baecke questionnaire can be used with adults who do not work.
The Questionnaire has a modified version for older adults
(Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997 Jun;29(6 Suppl):S1-205)
But not one that may be adjusted for use with adults who do not work. Your views would be much appreciated.
I'm also wondering what type of tool or questionnaire would be appropriate to use for assessing physical activity level of individuals with CLBP living in rural community considering majority of these individuals do not work and neither engage in sporting activities.
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CMS advocates for cognitive screening of older adults for early detection of dementia and potentially treatable etiologies of cognitive change. However, most of the commonly employed measures have not been validated in rural and indigenous populations. What are your thoughts on solutions for cognitive screening in rural and indigenous older adults? 
Thanks everyone for your responses so far. I definitely agree with Nikola Illankovik about proper assessment of visual and auditory systems. Far too often, these systems are neglected cognitive assessment of older adults leading to misdiagnoses. Romola Bucks and Henrique Salmazo Silva, many thanks for the links to the articles. I will also post a few resources I have uncovered on this message when I get a chance. I am grateful to hear from my international colleagues on this issue. 
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If somebody can help me I will appreciate it. Thank you
Hi Rosa, The CDC keeps a comprehensive database at "Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web–based Injury Statistics Query and Reporting System (WISQARS) [online]." If the hyper link did not come through, use http://www.cdc.gov/injury/wisqars/ to access the site.
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Does anyone know if there are measures assessing the value and level of respect by youth (younger generations) who are receiving information from older adults?
One of the challenges associated with research on generativity and older adults is determining whether or not the generative acts are received and appreciated by the younger generations (Cheng, 2009). Researchers have noted that in order for generativity to have a positive impact on the Elders’ health and well-being, the acts must be appreciated by those receiving the messages and teachings (Cheng, 2009).
Does anyone know if a measure has been developed to measure this?
Check this out: The measures are given at:  http://www.sesp.northwestern.edu/foley/instruments/gbc/
The Life Story Interview
Loyola Generativity Scale (LGS)
Generative Behavior Checklist (GBC)
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There is a very narrow normal curve for the Minnesota dexterity tests, around one minute duration. I think they must have had a super class of youngsters practicing to make up the norms. A youngster here scored highly because she was at the top end of curve, and we older guys score low because just 10 seconds slower than 1 minute puts us near the bottom, which is ridiculous. Strategy to do the test faster is to only concentrate on the hand putting blocks in the board. Only look at the board. Only pick up the pucks by touch without looking at them. This will give you less to think about and more microseconds to concentrate on placing pucks. We can also lower the board to make it faster to use the hands reaching. I think using this strategy I can get below 1 minute. But failing that, where are the norms for older adults? 
Thanks Emmanuelle.  Most helpful.  Happy New Year.
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information needs and expectation of senior citizens.
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I am completing my thesis as a qualitative study on the perspectives of older adult women as it relates to hair care and the overall affect on self-efficacy and quality of life.  This scale seems like it would be GREAT to contribute to my research.
Hi Jaqueline
Have you heard of the Hair and Care Project in Dementia at the University of Manchester? May be of interest
 
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Due to advancement in health care,people are living longer.Elderly persons face numerous anxiety-inducing issues, including health problems, loss of close friends and life transitions such as moving to a nursing home. In addition, certain health conditions that afflict older adults, such as Alzheimer's, can cause anxiety. For physical or psychological reasons, some seniors aren't able to cope with their anxiety alone and need help from family or caretakers.
Dear Lala
Dementia is a syndrome resulting from progressive decline in intellectual capacity of the individual. It is characterized by loss of ability to memorize, to solve the problems of everyday life , which interferes with your relationships and social and professional activities . The goal of treatment is to control the symptoms of dementia. The treatment depends on the disease that is causing the dementia. Some people need to be hospitalized for a short period .
Interrupting or changing medications that worsen confusion can improve brain function
Increasingly, evidence points to the benefits that some types of mental exercises can bring to improve dementia
Depression is a disease state . Depression causes symptoms such as depression and lack of interest in any activity . It is a disorder that can come with or without the feeling of sadness and undermines the psychological , social and work functioning
Treatment of depression is substantially medicated . There are 30 available antidepressants . Contrary to what some fear , these medications are not like drugs , leaving the jubilant person and cause addiction. Treatment is simple and , in general , does not disqualify or numbs the patient
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Concept analysis of resilience in adults dealing with illness.
It's disaster, not illness, focussed but I found this new paper earlier in the week:
Shaw et al. 2014 "The paradox of social resilience: How cognitive strategies and coping mechanisms attenuate and accentuate resilience," Global Environmental Change, 10.1016/j.gloenvcha.2014.01.006
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The prevention agenda was at the heart of health and social care policy under new Labour and there was a proliferation of research in this field. However, although the coalition government seemed to support this in principle, in an age of 'austerity', funding appears to have been directed more towards those with substantial and critical needs and away from preventive services. Also there appears to be a lack of recent academic work on prevention - or is it being described in different terms? Does anyone know of any recent work in this field, i.e. looking at what has happened to low level preventive services under the coalition government? If you could help it would be appreciated!
I'm not sure 'preventative' services exist in and of themselves, but there are a couple of research strands that you might be able to draw on: a) the idea of care planning (or proactive care) for people with long term conditions (many of whom are elderly)- the process fits more in the clinic than in the community, but is nevertheless useful in understanding how further deterioration might be best managed, as much as possible in the community; and b) the idea of social network/ support theory and how that impacts on people's health seeking behaviours. This includes research on carer needs and carer support, which is absolutely key in supporting people in the community, keeping them there and preventing accidents as well as forecasting needs and foreplanning care.
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Can anyone point me in the direction of research exploring psychological interventions for older adults with multiple sclerosis? Currently there is much research regarding adjustment to a diagnosis of MS, mostly in younger populations. I was wondering if anyone was aware of research exploring psychological issues and management of older adults with MS?
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What are the new biochemical indices of protein synthesis in human muscle and blood plasma after Resistance Training in older people?
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see above
It depends on how old is he/she, and comorbidity
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I have read Dr. Lowe's article on Old is Gold. And it is very interesting and very true for Bruneians. When we are young, we are taught to be polite, respectful, caring and believing there are always rewards when you do good deeds. Rewards aren't always in cash form or gifts, it can be in the form of love and respect.
The views shared by Dr. Lowe by the 'sixtees' are true in the case of Bruneians. My parents are in their 60's. They still wear smart clothes, drive (at 80km/h), wear perfume, walk side - by - side with my mother, making sure daily routines are smooth, with no hiccups. Daily routines mean jogging in the morning, breakfast / lunch / hi - tea / dinner with lovelies, gardening in the afternoon, or sewing, of course for Muslims praying, shopping / window shopping and spending time with the grandchildren. Even though realising the phenomenon of getting old, they try to ease out the difficulties positively. They still enjoy evergreen movies, share jokes, and as mentioned by Dr. Lowe, telling their experiences to us. It's like watching a movie of my parents life journey. Hoping one day it can be compiled together to make them as book chapters.
I just wonder, at what point do they realise they are in that era? And do you think feeling young at heart are the means of removing negativity in their mind, to stay blissful at their age (or even at a younger age)?
Staying young at heart makes us grow younger!
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Performing an interview study with 20 older adults in their private home made me think of hearing difficulties, rearranging furniture to sit beside - not in front of the interview person etc. What do you think about preparing in depth interviews with older adults? Is there available literature?
Being and 'older' person I do research and interview all age ranges from teens to over 80s. By asking the question you are perhaps putting filter in place. I have interviewed 20's somethings who act like older people and older people that have minds of a teenager.
The points I use whoever I interview.
Be yourself and authentic.
Do not patronize or assume.
Ask questions about where they would be most comfortable with you sitting etc.
How much time do you have and how much do they have.
Take natural breaks. Follow the rhythm of the interviewee.
The type of methodology are you using - sounds like semi-structured.
In general all interviews are time consuming and I generally limit the time when working with business to 30 or 45 mins though for some video recorded session 2 hours has been the max.
Time is irrespective of age.
Attitudes and behaviors are irrespective of age. (remember there are differences between physical and mental restriction and one does not equal the other).
Make sure that your attitudes and worldview filters do not come through in the interview - otherwise the results become biased.
Lastly understand your own philosophical stance and what coping system or mechanism you are viewing the world through. This should be explicit in your findings.
Anyway this may be useful and most of it you may already know. Good luck and be prepared to learn from the interviewee and give them some learning in return.
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Looking for experiences of evaluating quality of end-of-life in nursing homes or similar.
Dear Rafael:
Very good question, I think this is important for you:
The End of Life Care Quality Assessment (ELCQuA) is a national online tool, based on the National Institute for Clinical Excellence NICE (2011).
Sincerely.
Diana.
Miraflores, Lima, Perú.
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Does frailty really matters? So much research, very little advance?
Good Question. As for now research related to " frailty " goes on 2 axes:
1. What is the definition of " frailty " ? There is still no complete agreement ...
2. How could this be used for early detection for some factor that could be
treated in order to preserve function and healrh .
So far there is no breakthrough in either of these.
Fraility is an adjective with some hopes to find ways to convert
it to a clinical entity. These efforts are ongoing for more than 10 years
and generate papers...
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What are some outcome measures that can be used to assess the mental health of the older adult population following mental health interventions?
Hi Sarah
it depends on the kind of outcomes You are looking for.
I'm also studing outcomes in psychosis , focusing on 18-55 life years. and this an exemple of our results.
we are now collecting data of 120 patients from 1985 to 2012, to see better the results in a longer perspective.
best regards
tiberio damiani
The mental health care in the Sanitary District of Amandola (FM)
T. Damiani1, M. Passamonti 2, T. On Angelo2, N. Kardos2, N. Raffaelli3, F. 3 Rossi, V. Barchetti3, M.G. 3 Ciarrocchi, P. 3 Deales, G. Fiori3, G. 3 Gallo, M. Gaspari3, L. Liberati3, B. Maddalena3, A. Pucci3, A. Sacconi3, L. 3 Siliquini, D. Vallesi3, G. Giannini4, S. Pacifici4, M. Mariani1.
1ASUR Marche - Z.T. AP 13, Department of Mental Health; 2ASUR Marche - ZT AP 13, District of Amandola, 3Medici of General Medicine, ASUR Marche - ZT AP 13, District of Amandola, 4 Psychologists, Project Relief, Marche Region XXIV Territorial Area.
In the Sanitary District of Amandola (11 municipalities of the Sibillini Mountain Community, south of the Marche region) we have performed a ten years follow up (1998-2008) of a cohort consisting of 85 patients aged between 18 and 55 years and followed by serious illness, ICD 295-296-297 and 301.
The decision to limit the study to patients under 55 years of age was determined by the choice of observing these patients in theyr working-age, limiting pollution data because of degenerative phenomena induced by ageeing.
It was calculated for each patient the annual number of admissions to SPDC(acute psychiatric wards) at Hospital "Mazzoni" of Ascoli Piceno and psychiatric clinic of ascoli piceno (subacute hospitalization), it was also calculated the annual cost per patient of-hospital care (home visits and outpatient).
There have been 39 patients who underwent admissions to SPDC (22 patients had only one and 16 with more than one admission), while 46 patients had no hospitalization in the period observed (1998-2008).
The total cost for hospital care is € 114,320.00 and the minimum and maximum costs for hospital costs respectively € 2,465.00 and € 8.000,00. The total cost for the service area is € 47,245.00, the minimum and maximum cost for the area (visit and drugs) are respectively € 17.16 (for 1 outpatient visit /year) and € 588.94 (18 home visits/year + long acting drugs). Costs are defined in accordance with regional rates at DGRM 2265/02.
The data in our record indicate a low costs of the hospital psychiatric care in planning, much less than for other studies, and the containment of retirement to illness.
The joint work between the district health workers and hospital of Amandola, general practitioners, social workers and mental health dept. social network, has achieved these results in terms of health and social spending.
Next this survey has now reached the second year the survey of subjective health status among the same patients, with the administration of the SF36 questionnaire and to the own family members from this year it was proposed the questionnaire QOL-Proxy.
A further current study is the longitudinal assessment of cognitive deficits in patients followed for serious disease. In this case the patient is proposed to carry the battery of neuropsychological tests each year.
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What can be done to improve the quality of care of the older population from a family network point of view?
The family can advocate for an anti-inflammatory diet. Many of the foods offered in senior's institutions are pro-inflammatory and hasten disease and death.
google anti-inflammatory diet.
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The results from Well-being characteristics of Older.
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Beside the common criteria like WCAG are there any really good sources for guidelines and experiences for good user interaction and user interface design for older adults with focus on Smart TVs?
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I mean to practice in a large old-age home.
Can you be more specific are you looking at sensory and therapeutic therapys activity programmes reminiscence therapy. I would like to better understand what it is you are seeking. If it's a medical or social model you are looking at for using with older people I can give you some feedback based on 6 years experience in an old age home. However if it's a medical perspective then you may be looking for a more medically orientated answer. I took counselling psychology and we had to develop a project for use with older clients and explain. Why we chose it it's theoretical perspectives underpinning g it. One of my better college modules in which I was awarded a distinction.if you can be more specific I will try and give you a broader answer.
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A recent study has suggested not to use the confidence ellipse area but instead a prediction ellipse area. However, both of these are in my mind inferences statistics. I think we simply should describe the ellipse area by a standard ellipse based on i.e. 90% of the datapoints. Am I wrong?
In my opinion the standard ellipse would be ok, but based on 95% of the datapoints. About the method used in similar research I can recommend articles "Relationship between clinical and instrumental balance assessments in chronic post-stroke hemiparesis subjects" (Sawacha Z., Carraro E., Contessa P., Guiotto A., Masiero S., Cobelli C.) and "A comparative analysis of the center of gravity and center of pressure trajectory path lengths in standing posture: an estimation of active stiffness" (Caron O., Gelat T., Rougier P., Blanchi J-P.).
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For a review I am looking for studies that have used any form of mobile technology and/or the internet etc. for promoting healthy diet and/or physical activity in underserved populations (older adults, persons with disabilities, minorities...) and/or low- to middle- income countries. 
Thanks
Hello Andre -
My area is mHealth in pediatric populations.  I did a pilot and getting ready to submit - however, we did a systematic review (Militello, Kelly, Melnyk, 2012 text messaging) on the topic in peds and there are a few.  Also check out JMIR....they have a lot of good publications.  Hope this helps. :)
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I am looking for information for the last 100 or 50 years on measurable sporting performance (for example: in athletics, swimming, cycling, rowing and the like) for competitors aged 40+, 50+, 60+, 70+ etc to answer the question: Has the physical performance of the elderly changed over the last 100 or 50 years?
Results for London etc marathons provide times and ages since the 1980s, but that is one activity and just 35 years.
Is there more information?
Many thanks.
Malcolm Tozer
24 February 2016
If you look up the name Robert Wiswell, PhD from USC you will find a rather large amount of information regarding the performance characteristics of older persons. From the 1980's until the early 2000's, Dr. Wiswell and his associates at USC had a grant for a twenty year study of master's athletes to determine how persons who continued to train for competitive sports aged. To be a subject you had to meet age based standards and competitive requirements. Their papers and references would be one of the best places to start your search. Also, Purdue University had a study program that was repeated every decade or so looking at the physical and physiological effects of aging, Andrew Gardner, PhD did the study one year and it would have good references also.
There was also a lengthy volume published in 1990 on the physiological effects of exercise in chronic disease and aging titled "Exercise, Fitness, and Health: A Consensus of Current Knowledge". It was edited by Bouchard, Shepherd, Stephens, Sutton, and McPherson, and published by Human Kinetics, it would provide a wealth of older papers on aging and the names of persons who would be involved in continuing research on the subject. Some other names you should investigate are Klitgaard, Frontera, Vandervoort, Fiatarone-Singh, and Fiatarone.
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I'm looking for the research verifying if the training-induced changes in cognitive task performance are connected with the changes in human brain, in terms of compensatory patterns, as PASA or HAROLD (or some other).
thank you kind Paul for your hint
here alleged the Paquid experience by board games
best regards, Mauro
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I make my Masters Thesis and in research part is necessary to evaluate the quality of services.
This is an excellent question! In my opinion the existing rating system fails to capture the essence of good elder care. It focuses more on indicators that are redundant and  often fail to reflect the actual clinical care. Based on about 20 years of work in the trenches I think there are 2 arms to what establishes care in nursing homes;
1. Administrative operations
2. Clinical operations
Administrative/operations: Data suggest that ratio of RN to Lpn and nursing aides is a good gauge of nursing home performance as it is linked to their overall quality of care which is linked to better outcomes. In other words, the lack of nursing aides in nursing homes, results in a potential lack of human resources, which required to care for frail elders needing assistance with ADL's and IADL's. 
 Currently, the Casper report indicators which reflect the efforts of these two arms, weighs more on administrative operations. 
I believe that a few QA indicators from Casper report do actually share both the arms. In my opinion, indicators more likely to reflect clinical care are:
1. Number of total medications prescribed 
2. Use of psychotropics with or without symptoms 
3. Residents in pain 
4. Residents with bladder bowel problems
5. Resident with UTI
We recently presented at an AMDA conference, the results of our pilot study ; an IDT based intervention using A.R.M.O.R, a tool to reduce polypharmacy, which targets 5 nursing homes over 2 years. We studied the impact of these intervention on the Casper report indicators ; rates of falls, behaviors, pain report, rate of UTi and ADL. 
It was interesting to see that the use of psychotropics, an indicator in nursing home widely used quality metric, is seen mostly as facility responsibility. Although a close look at these in our study, reflects a different story. We found that reduction in medication, though successful in reducing the incidence UTI, polypharmacy and behaviors, actually increased the falls rate and reported pain! 
Our analysis suggest that upon removal of  chemical restrains ( psychotropics), resident are more active as their ADL improves, therefore, they are more vocal in expressing pain and are more active. When their is a paucity in nursing homes of nursing aides, it becomes difficult to prevent falls among elderly.  We will be submitting the study and the results shortly. 
In essence, quality indicators  in nursing home should include ratio of RN and CNAs  to the residents. Hope this is helpful. I am available to speak on phone or by mail, if you wish.
regards,
Raza Haque MD
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How remaining life-expectancy is measured (or estimated) in older patients? Are there some tools or scales available?
Dear Guibert
Thank you for your reply. I will go through the advised article.
Kind regards
Shamsher
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1. I have been able to do a scoping review and there are conflicting arguments on that. A greater percentage of scholars said that most Health care professionals(HCP) attitude towards older adults is positive now.(surprisingly) Then, yet a low percentage of HCPs are not interested in working with older adults. This was explained by the statements that  good perception and knowledge does not necessarily translate to a positive attitude towards older adults and/or interest to working in a geriatric setting. Then, my question is, 
a. Is there any models for studying this area of interest. 
b. Apart from the basic attitudinal scale like Kogan, Palmore (FAQ1), UCLA-GAS scale. Is there a developed questionnaire that can address the shortfalls with the common scales. If there is, I will like to be pointed to it. 
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ResearchGate Members:
My colleagues and I have been searching for a facial photo database containing lifespan photos (authentic photos of the same person across various ages). We need photos of both men and women, and are especially interested in racial diversity. We are not interested in photos that have been edited to make people "look" older or younger; the photos must be authentic.
We have had limited success so far in our ongoing search. Are any of you aware of a facial photo database that contains lifespan photos? 
Thanks,
jsj
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Please tell me what the independent variable would be in the following article: association between participant identified problems and depression severity in problem solving therapy for low income homebound older adults.
Dear Wilma, 
The title is unclear and confusing. It is also too long according to the APA rules. However, referees have accepted it. My (not informed) guess goes like this: 
Low income = IV
homebound = IV
problem solving therapy = IV
participant identified problems = DV
Depression severity = DV
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I am interested in writing a research paper that analyzes the benefits of water aerobics in conjunction with balance improvement in the elderly.
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I need something measurable. Not from lab if possible not MRI an. Any suggestion, any test?
Kind Blanka,
may I suggest the alleged paper, both in itself and for the wide bibliography [many references are open access]; the intro & the discussion are broad, and I found the methods section intriguing as well.
I hope that work fulfills your requests, and you share my opinion on the paper, Mauro
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As anyone matures and gets close to retirement or well into your sixties, life expectations, life goals, start to change. Our cultural values and beliefs are a major influence for sure. But what changes people start perceiving when the outlook of life is radically diferent to that we had after graduating? What are our new motivations? What are our new worries?  What major lessons have we learned? What we would like to tell to those of the next generation? What do we value now? What are major differences we perceive against a younger self?
This is a study I am starting to investigate for the mexican population. But has anybody done a similar study? Do you know of a standrad questionnaire I should consider for comparison purposes?
Any input is very well received
Hi
This is very fascinates me. I'd like to work with you in this project.
In a 2007 done a study with this title:  Hopes, fears and expectations about the future: what do older people's stories tell us about active ageing? but the Method of data collection is by interview.
You can find a lot questionnaire on the website http://www.ppc.sas.upenn.edu/ppquestionnaires.htm that can help you 
another article titled is "Hope and Adaptation to Old Age: Their Relationship with Individual-Demographic Factors can also help you"
In connection with the questionnaire hope can "ADULT HOPE SCALE (AHS)" as well. you can find it on this page: http://fetzer.ikshare.com/sites/default/files/images/stories/pdf/selfmeasures/PURPOSE_MEANING.pdf
In relation to expectations,   An article titled "Development and Standardization of Scale to Assess the Satisfaction and Expectation of Older Adults in Old Age Homes" can help you. Also, you can find the article entitled Assessing Outcome Expectations in Older Adults: The Multidimensional Outcome Expectations for Exercise Scale. also you can use this article "Validation of an Instrument to Measure Older Adults' Expectations Regarding Movement (ERM)".
This subject is very attractive. Please send me the results of your work.
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We want to assess proprioception and balance in healthy, older adults, without using force platforms.
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Polypharmacy is a common finding among older adults with multiple chronic conditions. Medication interactions could lead to potentially serious adverse drug events. Moreover, adverse drug events could be mistaken for a new disease symptom resulting in additional medication prescription. Since PTs usually see older adults with multiple chronic conditions, it is important to assess for polypharmacy and its associated adverse drug reactions as part of the plan of care. Do you know of any evidence in the primary literature investigating this particular role of PTs and its effect on patient care?
You have to know what and who is in front of you and suspend prejudice. Patients will engage with denial to deal with painful emotions and that is survival also for some. If you can make a good relationship and trust is there then all good.
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I'm particularly interested in non-pharmacological interventions, and models of care to reduce use of mechanical and chemical restraint.
Thank you for uploading such an important point. 
Each demented person has each narrative.  Each person's doctor , such as GP, or care person has a lot of information about the patient.  We should know the narrative, think about the viewpoint of the patient depending on his/her own life history, listen to the patient and answer the question with kindness and politeness.  
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In the field of media education / media literacy education, most of the research and practices are aimed at children, young people or their parents? Does anyone know of research or practical work that focuses on media education of older people, i.e. people over 60 years of age?
Hi Paivi, I suggest searching for ANDRAGOGY and seek the works of Malcolm Knowels. 
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Current application of the 3 & 6 hour bundles will necessitate patients seek treatment early for sepsis.   I want to quantify the subjective symptoms of older adults with sepsis.
Kristopher,
The articles from Apr-Jun 2015 Critical Care Nursing Quarterly that you referenced are very important topics in the evolution of sepsis care.  The sepsis in the elderly article provides a succinct, comprehensive review from which implications for further study are evident. Thank you.
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I am unable to find published clinical studies regarding:  In the female older adult (65 & older) will aerobic versus anaerobic activities increase cognitive function?  Aerobic act- meaning cardio exercises (aerobic exercises, running, step-machine, bicycling)  Anaerobic act. - meaning yoga, stretching exercises (tai-chi), playing cards, Sudoku.
All 'anaerobic' activities listed ('...Anaerobic act. - meaning yoga, stretching exercises (tai-chi), playing cards, Sudoku...') are not anaerobic, some cannot even be regarded as physical activity. To be classified as anaerobic, the intensity of the activity should be high enough to activate predominantly anaerobic metabolic pathways (phosphagen/alactic, glycolitic/lactic), i.e. above the anaerobic threshold (above max lactate steady state). I am not aware of any studies on this topic...
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I am interested in asking questions focused on generativity and exploring the connection between levels of generativity as measured by the Loyola Generativity Scale and levels of drinking among Alaska Native older adults. Does anyone think that MI and other measures of alcohol use and readiness to change scales can be used to assess readiness to change and work with others to discuss reasons/motivations to re-engage in culturally meaningful and generative acts to replace drinking behaviors? Use MI to connect Elder in recovery with an elder struggling with alcohol to define their own motivations to re-engage with family, community, and culture and give them their identity and sense of purpose back that alcohol took away from them. How can I develop this into a grant proposal and which measures would be most appropriate for a study of this nature?
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i am interested in finding or developing a fall risk assessment tool that looks specifically at a population of persons in an in-patient drug/ETOH facility. While I know that there is some overlap with other assessment tools, most of these assume acute or long-term care with a primarily older adult population and do not specifically address this population.
Hi Alison,
In case studying Parkinson's disease research could help, I would mention that detecting and measuring severity of PD symptoms, such as gait freezing, involuntary movements, and walking and postural difficulties have been shown to be significantly associated with an increased risk of falls. There are many tools and research available.
Let me know if you need more information on this.
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We are conducting a literature search on models of consumer directed care in countries other than Australia, particularly the UK, Canada, US and New Zealand. Interested in both home community care and residential aged care. Can anyone provide recommendations or links to relevant literature? We would also be interested in any other information including websites,  conferences papers etc.  that might give further clues and links.
In the UK they are and have published much on the CDC through their local councils as they are in control of the budgets and home care funding 
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I am seeking reviews of current assessment tools for substance abuse that are used successfully with older adults. Thanks. Kerry
Hi, I think you shouldn't use MAST but AUDIT or a brief version of AUDIT which best properties in old people. :
Källmén, H., Wennberg, P., Ramstedt, M., & Hallgren, M. (2014). The psychometric properties of the AUDIT: a survey from a random sample of elderly Swedish adults. BMC public health, 14(1), 672.
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These older adults would have followed a 10 sessions cognitive behavioural therapy for anxiety disorders. 
The goal is to see what have been helpful to them and what haven't. 
To my experience, semi-structured interviews rely greatly to the skills and expertise of the interviewer. As for ols age people, thre is one more confounding variable, that of cognitive performance. So , personally, I do not think that  kind of interview hrlps much  to estimate the outcome ogf this kind of therapy to older adults. of course, there ar eresearchers that advocate the use of  cognitive psychotherapy in older adults with depression, but the results are more evidence in the mood part than the cognitive part ( Simon SS et al Int J Geriatr Psychiatry. 2014 Dec 17. doi: 10.1002/gps.4239. [Epub ahead of print] 
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Today, it is almost axiomatic that the business of medicine has come to totally disregard the human body’s ability to heal itself, yet that is, in reality, the only way the body heals.--So goes the introduction of a recent seminar on adult stem cells, outlining how the process of healing under the direction of mitochondria. What are your experiences and observations on the process of healing relative to adult stem cells and various treatment approaches? 
Thanks dear Dr Max.  I'm not an expert in this, but I am good at boiling herbs for rehydrating the body since I was young.  And I like juicing celery, fruits and carrots, and cooking.  Since I moved to work at this college, I got used to a village life where everyone sleeps early.  I have a beautiful track to exercise, and that exercise helps me to sleep well.  Yesterday, I went to check my eyesight, and I was glad there has been no change.  The power has been the same for many years, despite the amount of time I spend at the PC each day.
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Hi All,
I'm looking for papers on the healthcare access of older adults - if possible, with chronic diseases - in sub-Saharan African countries.
Thank you for your help,
Sophie.
Many thanks Beatrice. I will have a look at it.
Sophie