3 fadayvatan-easy care in iran, prague 2012
Post on 01-Nov-2014
393 Views
Preview:
DESCRIPTION
TRANSCRIPT
EASY-Care program in Iran
Dr Reza Fadayevatan, MD, MPH, PhD
Head of Ageing Department,
The University of Social welfare and Rehabilitation Sciences
Outlines- ICurrent status of older people population in Iran
and Tehran
Iran Ministry of Health Program for older people
Elderly health service package
Outlines- II
EASY-Care in Iran
Undertaken programs
On-going projects
Up-coming programs
Current Status of older people population in Iran (latest census)
Total number of population: 70,495,782
Number of older people population: 5,121,043
Percentage of older people: 7.26%
Number of people aged 100+ in Tehran province:1891
Population of Older people in Tehran
Tehran province:
Total number of population : 13,422,366
Number of older people: 973,183
Different age groups living alone in Tehran
Age groups The number of older people
60-64 14561
65-69 18217
70-74 22043
+ 75 34685
Total 89506
Ageing index The ratio of the population of people over 60 years of age
to under 15
1986 1996 2006Ageing Index
6.68% 10.93% 20.68%
Iran Ministry of Health Program for Older People
Start date: 2005 Setting: 30 cities in Iran
Domains of the package:
Cardiovascular disease Nutritional disease
Diabetes Hearing and seeing
Mental disorders Osteoporosis
Incontinence Dementia
Falls Acute lung tuberculosis
Immunization
Questionnaires of Iran Ministry of Health Program for older people
Questionnaire at first admission
Periodic care forms
Referral forms
Follow up forms
EASY-Care, Mission
“To improve the life of older people through
better assessment and response to their health
and care needs.”
EASY-Care Standard: Domains Biography & Reason for Assessment Seeing, Hearing & Communicating Looking After Yourself Mobility Safety Accommodation & Finance Staying Healthy Mental Health and Well-Being Other Information
Risk of break down in care
Independence Score
Risk of falls
EASY-Care InternationalResearch Network Europe
Belgium
Czech Republic
England
Finland
France
Germany
Greece
Italy
Latvia
Lithuania
Netherlands
Poland
Portugal
Russia
Scotland
Sweden
Switzerland
Turkey
© The University of Sheffield
EASY-Care InternationalResearch Network
Australia
Brazil
Canada
Colombia
Hong Kong
Iran
Malaysia
Taiwan
USA
EASY-Care, Undertaken programs in Iran
2008
Signing the contract with The University of Sheffield
to start the work
2009
Preparatory work;
•Setting, budget, team members, professions
empowerment etc.
To set up a research team
To attend EASY-Care symposium, IAGG, Paris
To attend training course at The University of
Sheffield, University of Warwick and Turkey
2010
Providing project budget
Allocating the office for EASY-Care project at Tehran
University of Medical Sciences (TUMS)
To carry out review of literature
Some courses in methodology of validation studies
1 PhD student on Easy Care (Warwick)
2011 Developing a care-plan for approaching at-risk people
Digitalization EASY-Care
Care plan
CGA
Developing a protocol for translation and cross-cultural adaptation using three protocols including:
• IQOLA (International Quality of Life Assessment)
• IPAQ (International Physical Activity Questionnaire)
• WHO recommendations
Psychometric properties of Farsi version of the EASY-Care
instrument (1st ongoing project) Translation
• Forward Translation
• Review and assessment
• Backward Translation
Pilot Study
Main Study
Pilot StudyAims:
1. To assess acceptability of the EASY-Care instrument from perspective of older people
2. To assess acceptability of the EASY-Care instrument from perspective of specialists
Main Study (ongoing project)
AimsInvestigating of validity and reliability, item and test
parameters of Persian version of the EASY-Care standard instrument.
Target Population500 male and female aged 60 and over
Inclusion Criteria: aged 60 and above; having consent to
participate in the study. Exclusion criteria : having significant cognitive impairment
(Abbreviated Mental Test (AMT) <7) and having a diagnosis of psychotic disorders.
Data Analysis
Data analysis will be done based on Classic Test Theory
(CTT) and Item-Response Theory (IRT).
Validation process based on CTT
Assessing reliability
Test-retest conducted as reproducibility measure after a two week interval.
Internal consistency was measured with Cronbach’s alpha. Inter-rater reliability was estimated based on the correlation
of scores between two raters who rate the EASY-Care.
Investigating validity Content validity assessed in an expert panel
Construct-related validity
Confirmatory Factor Analysis
Exploratory Factor Analysis
• Concurrent validity will be assessed using correlation
with SF-36 and AMT.
Ethical Considerations
The study was approved by Research Ethics
Committee of the University of Social Welfare and
Rehabilitation Sciences on 20/05/2010 and all
participants gave a written consent form and an
information sheet inviting them to take part in the
study which included coverage of the aim of the
study. Participation in this study is voluntary. Study
Comparison of independency score of EASY-Care between Iranian and Portuguese older people: A cross-cultural study (2nd ongoing project)
Aims:
Psychometric properties of independency score of EASY-care
Comparison of classic Test Theory (CTT) and Item Response Theory (IRT)
Cultural differences in Iran and portugal
Methods-II Sampling:
The participants recruited through a random sampling, sample of convenience, only consented participants
Sample size:799 (319 Iranian and 460 Portuguese older people)
Methods-III Method
A sample of 319 Iranian and 460 Portuguese older people
were measured using the 18-items independence scale of
the EASY-Care. The data were analyzed using Rasch
rating Scale Model (RSM) by WINSTEPS 3.49 (Linacre,
2004) software program.
Psychometric properties of the EASY-Care standard instrument as a global
instrument.(3rd ongoing project)Aim:
Developing a global assessment instrument for older people is currently being carried out worldwide.
Developing a global instrument through Analyzing data from all countries using IRT
Upcoming programs
Clinical outcome evaluation
Cost effectiveness
Forming the National Advisory Board
Presenting the whole work in the 20 th IAGG
conference, Seoul 2013
32
Thank you for listening
top related