1. Frailty in community-dwelling older people and nursing home residents : an adaptation and validation studySergej Kmetec, Zvonka Fekonja, Adam Davey, Barbara Kegl, Jernej Mori, Nataša Mlinar Reljić, Brendan McCormack, Mateja Lorber, 2024, izvirni znanstveni članek Opis: Aim: The aim of this was to psychometrically adapt and evaluate the Tilburg Frailty Indicator to assess frailty among older people living in Slovenia's community and nursing home settings.
Design: A cross-cultural adaptation and validation of instruments throughout the cross-sectional study.
Methods: Older people living in the community and nursing homes throughout Slovenia were recruited between March and August 2021. Among 831 participants were 330 people living in nursing homes and 501 people living in the community, and all were older than 65 years.
Results: All items were translated into the Slovene language, and a slight cultural adjustment was made to improve the clarity of the meaning of all items. The average scale validity index of the scale was rated as good, which indicates satisfactory content validity. Cronbach's α was acceptable for the total items and subitems.
Conclusions: The Slovenian questionnaire version demonstrated adequate internal consistency, reliability, and construct and criterion validity. The questionnaire is suitable for investigating frailty in nursing homes, community dwelling and other settings where older people live.
Impact:The Slovenian questionnaire version can be used to measure and evaluate frailty among older adults. We have found that careful translation and adaptation processes have maintained the instrument's strong reliability and validity for use in a new cultural context. The instrument can foster international collaboration to identify and manage frailty among older people in nursing homes and community-dwelling homes.
Reporting Method: The Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting cross-sectional studies was used.
No Patient or Public Contribution: No patient or public involvement in the design or conduct of the study. Head nurses from nursing homes and community nurses helped recruit older adults. Older adults only contributed to the data collection and were collected from nursing homes and community dwelling.
Ključne besede: aged, chronic disease, frailty, instrument validation
Objavljeno v DKUM: 17.07.2024; Ogledov: 106; Prenosov: 18
 Celotno besedilo (611,66 KB)
Gradivo ima več datotek! Več... |
2. Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level : protocol for a multicentric randomized controlled pilot studyMatic Mihevc, Črt Zavrnik, Majda Mori-Lukančič, Tina Virtič, Valentina Prevolnik Rupel, Marija Petek Šter, Zalika Klemenc-Ketiš, Tonka Poplas-Susič, 2022, izvirni znanstveni članek Opis: Introduction: Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test the acceptability, clinical effectiveness, and cost-effectiveness of telemonitoring in elderly patients with AH and T2D at the primary care level.
Methods: A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients a ged ≥ 65 y ears with AH and T2D will be randomized in a 1:1 proportion to a mHealth intervention or standard care group. Patients in the intervention group will measure their blood pressure (BP) twice weekly and blood glucose (BG) once monthly. The readings will be synchronously transmitted via a mobile application to the telemonitoring platform, where they will be reviewed by a general practitioner who will indicate changes in measurement regimen or carry out a teleconsultation. The primary endpoint will be a change in systolic BP (SBP) and glycated haemoglobin (HbA1c) relative to standard care up to 12 months after inclusion. Secondary endpoints will be a change in other observed clinical variables, quality-of-life indexes, and costs.
Expected results: Telemonitoring will be an acceptable method of care associated with significant reductions in SBP and HbA1c levels and an increase in quality-of-life indexes in the intervention group. However, the cost-effectiveness threshold (incremental cost-effectiveness ratio below €25,000/quality-adjusted life year) might not be reached.
Conclusion: This study will provide new evidence for scaling up telemonitoring network at the primary care level and modifying telemonitoring protocols to achieve the best clinical and cost-effective outcomes.
Ključne besede: mobile health, telemonitoring, blood pressure, blood glucose, HbA1c, aged, primary health care, costs
Objavljeno v DKUM: 27.06.2024; Ogledov: 178; Prenosov: 8
Celotno besedilo (377,42 KB)
Gradivo ima več datotek! Več... |
3. |
4. Involvement in sports clubs and informal sport activities of primary and secondary school children in LiechtensteinJürgen Kühnis, Beat Wachter, Christian Frommelt, 2016, izvirni znanstveni članek Opis: Sport involvement among children and adolescents has been a central field of research in sport science since years. This paper documents the participation of 11- to 15-year-olds in sport clubs and informal sport activities in Liechtenstein and examines possible gender- and age-specific differences. The analysis is based on four cross-sectional studies from 2004 to 2015 and includes the data of 1262 children in primary (5th grade) and secondary (7th and 9th grades) school. According to our findings sports and exercise are considered to be one of the main leisure-time activities for all school levels (irrespective of gender). The percentage of fully sport-abstinent adolescents by 11- and 13-year-olds is about 5 %; by 15-year-olds is around 10 %. The culmination of sports club membership (with current 84.7 %) appears to be at the age of 11 (5th grade). After the switch to secondary school the sports club commitment tends to decrease, while the high attendance of the informal sport activities (>85 %) shows relatively stable age development. In contrast to other child and youth studies, our data indicates a levelling tendency and dissolution of classic gender differences not only in sports club commitment but also in informal sports among girls and boys.
Ključne besede: sports club, leisure-time activities, school-aged children, Liechtenstein
Objavljeno v DKUM: 21.09.2017; Ogledov: 1309; Prenosov: 127
Celotno besedilo (190,16 KB)
Gradivo ima več datotek! Več... |
5. |
