TY - JOUR
AU - H. T. Tung
AU - K. M. Chen
AU - F. Belcastro
A1 - 
AB - BACKGROUND: The interaction between dementia and changes in health status accelerates the progression of dementia and health deterioration. Although health indicators exist for older adults, comprehensive ones for dementia are lacking. OBJECTIVE: To (1) establish core health indicators for older adults with dementia, (2) develop an integrated health assessment toolkit for older adults with dementia, and (3) test the feasibility and applicability of the integrated health assessment toolkit. METHODS: This study involved two phases. In the first phase, using the Delphi method, opinions from 10 experts were synthesized to establish core health indicators for older adults with dementia. In the second phase, with a descriptive research approach, an integrated health assessment toolkit was developed, evaluated by 10 daycare case managers for feasibility, and then pilot tested with 50 older adults with dementia across three daycare centers. RESULTS: The core health indicators for older adults with dementia covered 18 indicators in five domains: (1) cognitive and behavioral impairment, (2) sensory and perceptual impairment, (3) disease and dysfunction, (4) functional fitness deterioration, and (5) social isolation. After two rounds of assessments, experts rated the criteria's importance and clarity at 0.94 and 0.89 on the scale-level content validity index/universal agreement (S-CVI/UA), respectively. In the second phase, the integrated health assessment toolkit was developed, which integrated five observational assessment scales and six physical function measures. The average applicability scores ranged from 7.80 to 9.90 out of 10. In the pilot test, the assessment process proceeded smoothly without any adverse events. However, 10 participants did not comply with wearing the actigraphy device. LINKING ACTION TO EVIDENCE: The core health indicators and the corresponding health assessment toolkit are feasible to assess the health of older adults with dementia that could provide valuable insights and guide future interventions to enhance their well-being.
AD - Department of Nursing, Fooyin University, Kaohsiung, Taiwan.; College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.; Center for Long-Term Care Research, Kaohsiung Medical University, Kaohsiung, Taiwan.; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.; Department of Education and Psychology, University of Dubuque, Dubuque, Iowa, USA.
AN - 40635133
BT - Worldviews Evid Based Nurs
C5 - Healthcare Disparities
CP - 4
DA - Aug
DO - 10.1111/wvn.70060
DP - NLM
IS - 4
JF - Worldviews Evid Based Nurs
LA - eng
N2 - BACKGROUND: The interaction between dementia and changes in health status accelerates the progression of dementia and health deterioration. Although health indicators exist for older adults, comprehensive ones for dementia are lacking. OBJECTIVE: To (1) establish core health indicators for older adults with dementia, (2) develop an integrated health assessment toolkit for older adults with dementia, and (3) test the feasibility and applicability of the integrated health assessment toolkit. METHODS: This study involved two phases. In the first phase, using the Delphi method, opinions from 10 experts were synthesized to establish core health indicators for older adults with dementia. In the second phase, with a descriptive research approach, an integrated health assessment toolkit was developed, evaluated by 10 daycare case managers for feasibility, and then pilot tested with 50 older adults with dementia across three daycare centers. RESULTS: The core health indicators for older adults with dementia covered 18 indicators in five domains: (1) cognitive and behavioral impairment, (2) sensory and perceptual impairment, (3) disease and dysfunction, (4) functional fitness deterioration, and (5) social isolation. After two rounds of assessments, experts rated the criteria's importance and clarity at 0.94 and 0.89 on the scale-level content validity index/universal agreement (S-CVI/UA), respectively. In the second phase, the integrated health assessment toolkit was developed, which integrated five observational assessment scales and six physical function measures. The average applicability scores ranged from 7.80 to 9.90 out of 10. In the pilot test, the assessment process proceeded smoothly without any adverse events. However, 10 participants did not comply with wearing the actigraphy device. LINKING ACTION TO EVIDENCE: The core health indicators and the corresponding health assessment toolkit are feasible to assess the health of older adults with dementia that could provide valuable insights and guide future interventions to enhance their well-being.
PY - 2025
SN - 1545-102x
SP - e70060
ST - Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia
T1 - Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia
T2 - Worldviews Evid Based Nurs
TI - Development of Core Health Indicators and Integrated Health Assessment Toolkit for Older Adults With Dementia
U1 - Healthcare Disparities
U3 - 10.1111/wvn.70060
VL - 22
VO - 1545-102x
Y1 - 2025
ER -