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The Canadian Longitudinal Study on Aging (CLSA).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTCanadians are living longer, and older persons are making up a larger share of the population (14% in 2006, projected to rise to 20% by 2021). The Canadian Longitudinal Study on Aging (CLSA) is a national longitudinal study of adult development and aging that will recruit 50,000 Canadians aged 45 to 85 years of age and follow them for at least 20 years. All participants will provide a common set of information concerning many aspects of health and aging, and 30,000 will undergo an additional in-depth examination coupled with the donation of biological specimens (blood and urine). The CLSA will become a rich dat...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Raina PS, Wolfson C, Kirkland SA, Griffith LE, Oremus M, Patterson C, Tuokko H, Penning M, Balion CM, Hogan D, Wister A, Payette H, Shannon H, Brazil K Tags: Can J Aging Source Type: journals

Exploring the acceptability and feasibility of conducting a large longitudinal population-based study in Canada.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explored Canadians' views regarding one such study, the proposed Canadian Longitudinal Study on Aging (CLSA). Focus groups of participants >/=40 years of age were held in six proposed CLSA data collection sites (Halifax, Montreal, Hamilton, Winnipeg, Calgary, and Vancouver) to discuss participating in a long-term study of healthy aging. There was fundamental support for longitudinal research on health and aging. Altruism was a key motivation to participation, and universities were viewed as credible parties to conduct such studies. Participants had few worries about providing biological samples but expressed ...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Kirkland SA, Raina PS, Wolfson C, Strople G, Kits O, Dukeshire S, Angus CL, Szala-Meneok K, Uniat J, Keshavarz H, Furlini L, Pelletier A Tags: Can J Aging Source Type: journals

The canadian community health survey as a potential recruitment vehicle for the canadian longitudinal study on aging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTThe goal of the Canadian Longitudinal Study on Aging (CLSA) is to recruit 50,000 participants aged 45 to 85 years of age and follow them for at least 20 years. The sampling and recruitment processes for a study of this scope and magnitude present important challenges. Statistics Canada was approached to collaborate with the CLSA with the goal of determining whether the Canadian Community Health Survey (CCHS) could be used as a recruitment vehicle for the CLSA. In this pilot study conducted in 2004, it was determined that 63.8 per cent and 75.8 per cent of the respondents agreed to share their contact informatio...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Wolfson C, Raina PS, Kirkland SA, Pelletier A, Uniat J, Furlini L, Angus CL, Strople G, Keshavarz H, Szala-Meneok K Tags: Can J Aging Source Type: journals

Telephone-administered cognitive tests as tools for the identification of eligible study participants for population-based research in aging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTAs part of its recruitment process, the Canadian Longitudinal Study on Aging (CLSA) will face the challenge of screening out individuals who are sufficiently impaired in their ability to provide informed consent. In the process of developing the design of the CLSA, a review of the literature was performed with the goal of identifying currently existing telephone cognitive screening tools that can be used to identify eligible study participants for population-based research on aging. We identified 12 telephone screening tools, four of which were based on the Mini-Mental State Exam (MMSE) and eight that were base...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Wolfson C, Kirkland SA, Raina PS, Uniat J, Roberts K, Bergman H, Furlini L, Pelletier A, Strople G, Angus CL, Keshavarz H, Szala-Meneok K Tags: Can J Aging Source Type: journals

Feasibility of Biological Specimen Collection for the Canadian Longitudinal Study on Aging (CLSA) Biorepository.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTBiological specimen collection is an integral part of many longitudinal epidemiological studies. It is important to achieve high participant satisfaction for continuing involvement, and high sample quality for accurate biomarker measurement. We conducted a study to evaluate these issues on the sample collection proposed for the Canadian Longitudinal Study on Aging (CLSA). There were 85 participants recruited, and 65 attended either a hospital laboratory or private laboratory. Approximately 100 mL of blood and a random urine specimen were collected from each participant for a total of 2,108 sample aliquots. Qual...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Balion CM, Raina PS, Wolfson C, Kirkland SA, Keys JL, Griffith LE, Pelletier A, Uniat J, McQueen MJ Tags: Can J Aging Source Type: journals

Ascertainment of Chronic Diseases in the Canadian Longitudinal Study on Aging (CLSA), Systematic Review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTStandard clinical diagnostic procedures are often inappropriate and frequently not feasible to apply in population-based studies, yet ascertaining accurate disease status is essential. We conducted a systematic review to identify algorithms, criteria, and tools used to ascertain 17 chronic diseases, and assessed the feasibility of developing algorithms for the CLSA. Of the 29,616 citations screened, 668 papers met all inclusion criteria. We determined that the information included in a disease algorithm will differ by condition type. The diagnosis of some symptomatic conditions, such as osteoarthritis and arthr...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Raina PS, Wolfson C, Kirkland SA, Keshavarz H, Griffith LE, Patterson C, Uniat J, Strople G, Pelletier A, Angus CL Tags: Can J Aging Source Type: journals

Accessing health care utilization databases for health research: a canadian longitudinal study on aging feasibility study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTOne of the keys to the success of the Canadian Longitudinal Study on Aging (CLSA) will be the leveraging of secondary data sources, particularly health care utilization (HCU) data. To examine the practical, methodological, and ethical aspects of accessing HCU data, one-on-one qualitative interviews were conducted with 53 data stewards and privacy commissioners/ombudsmen from across Canada. Study participants indicated that obtaining permission to access HCU data is generally possible; however, they noted that this will be a complex and lengthy process requiring considerable and meticulous preparatory work to en...
Source: Canadian Journal on Aging - September 1, 2009 Category: Geriatrics Authors: Raina PS, Kirkland SA, Wolfson C, Szala-Meneok K, Griffith LE, Keshavarz H, Uniat J, Furlini L, Angus CL, Strople G, Pelletier A Tags: Can J Aging Source Type: journals

Developing a national consensus on the accessibility needs of older adults with concurrent and chronic, mental and physical health issues: a preliminary framework informing collaborative mental health care planning.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTCanada faces a significant challenge in meeting the health care needs of older adults with complex mental and physical health issues. Studies have shown collaborative mental health services to effectively address the diverse health needs of this group. However, an often overlooked yet important aspect of service delivery planning for this population is to ensure that older adults are sufficiently able to access available best-practice services. The article reports on a national consensus-building exercise conducted by the Collaborative Mental Health Initiative-Seniors Working Group to develop a nationally infor...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Horgan S, Leclair K, Donnelly M, Hinton G, Maccourt P, Krieger-Frost S Tags: Can J Aging Source Type: journals

Community-Based Home Support Agencies: Comparing the Quality of Care of Cooperative and Non-profit Organizations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study asks whether home support cooperatives deliver higher-quality care than non-profit home support agencies. The specific effects of consumer and worker participation on the board of directors are also tested. Data were collected in 2006 and 2007 from 831 individuals receiving home support services from nine cooperatives and nine non-profits. Two consumer-centered measures of quality were used: a summated, 39-point satisfaction score and a 4-point overall quality score. Data were analyzed using ordered logistic regression. Results show that although organizational type was not a predictor of the two quality outcome...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Leviten-Reid C, Hoyt A Tags: Can J Aging Source Type: journals

Développement d'un programme d'éducation au loisir adapté comme moyen de soutien à l'implication d'aidants d'un proche atteint de démence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to develop an adapted leisure education program. It included an evaluation of the caregivers' needs, the program content development, and a pilot study to experiment with the content of the program. Three focus groups of dementia caregivers (n = 19) were conducted to investigate caregivers needs. Based on content analysis of these focus groups and a literature review, the content of the program was developed. The pilot study (n = 4) included a quasi-experimental trial and an implementation evaluation. This study led to the development of an adapted leisure education program that puts caregiver support in a...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Carbonneau H, Caron CD, Desrosiers J Tags: Can J Aging Source Type: journals

Gender role, life satisfaction, and wellness: androgyny in a southwestern ontario sample.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigated the relationships among gender role and self-reported health functioning in a sample of community dwelling older adults. One hundred and two (55 female, 47 male) participants were recruited through seniors' associations in Windsor, Ontario. Analyses of variance were conducted separately by gender to compare the self-rated physical health functioning, wellness, and life satisfaction of participants differing on classification of their gender role. For older women classified as androgynous, gender role exhibited significant effects on general wellness and life satisfaction, but not on self-reported ph...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Gale-Ross R, Baird A, Towson S Tags: Can J Aging Source Type: journals

Personality and psychological health in persons with mild cognitive impairment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTAn increasing number of studies have documented the cognitive profile of individuals with mild cognitive impairment (MCI), but few studies have investigated the individuals' psychological health and personality traits or how these factors interact with cognition. In the present study, 27 healthy older adults and 30 persons with MCI completed questionnaires covering psychological health, morale, personality, self-efficacy, and self-actualization. The results indicated that individuals with MCI are more depressed, anxious, hostile, and have lower morale than matched healthy older adults. Furthermore, our results ...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Clément F, Belleville S, Bélanger S, Chassé V Tags: Can J Aging Source Type: journals

Fear of Falling among Elderly Patients with Dizziness and Syncope in a Tilt Setting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study included 200 older patients referred to a geriatric outpatient clinic specializing in dizziness, falls, and syncope. The primary outcome measure was the proportion of patients who experienced FOF (yes vs. no) and whether FOF restricted leaving home alone or performing activities of daily living. FOF occurred in 50 per cent of patients in this population. Among these, 44 per cent gave up going out alone and 10 per cent stopped doing basic activities of daily living. Beyond age 75, FOF was associated with recurrent dizziness, depression, and symptoms on standing, but not prior falls. PMID: 19860974 [PubMed - i...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Perez-Jara J, Enguix A, Fernandez-Quintas JM, Gómez-Salvador B, Baz R, Olmos P, Rodríguez A, Vilches A, Reyes-Ortiz C Tags: Can J Aging Source Type: journals

The differential influence of culture change models on long-term care staff empowerment and provision of individualized care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTWith this study we set out to determine if differences exist across culture change models (CCM) in relation to formal caregivers' perceived access to empowerment structures and reported provision of individualized care. We recruited staff working in facilities that had implemented the Eden Alternative, GentleCare, Facility Specific Social Models of Care (FSSMOC), or no CCM. Multivariate analyses of variance (MANOVA) compared these constructs by CCM for each of three caregiver groups (Registered Nurses, Licensed Practical Nurses, and care aides). Results suggest that considerable differences exist between formal...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Caspar S, O'Rourke N, Gutman GM Tags: Can J Aging Source Type: journals

Exploring Women's Attitudes and Intentions to Seek Care from Nurse Practitioners across Different Age Groups.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTBecause public acceptance is critical for the successful integration of nurse practitioners into the Canadian health care system, the current study explored how women of different ages perceive nurse practitioners. Middle-aged women held more positive views of health care professionals in general and were more likely to indicate that they would seek help from nurse practitioners compared to younger and older women. Across all three age groups, respondents were more likely to seek help from physicians than from nurse practitioners, especially for acute (versus preventive) health concerns. PMID: 19860976 [Pub...
Source: Canadian Journal on Aging - June 1, 2009 Category: Geriatrics Authors: Wasylkiw L, Gould ON, Johnstone D Tags: Can J Aging Source Type: journals

Rencontre entre mémoire et contrôle chez des jeunes et des aînés : la naissance d'une plainte ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rencontre entre mémoire et contrôle chez des jeunes et des aînés : la naissance d'une plainte ? Can J Aging. 2009 Mar;28(1):5-20 Authors: Guerdoux E, Martin S, Dressaire D, Adam S, Brouillet D ABSTRACTThe aim of this study is to explore cognitive complaint by investigating the influence of memory controlled processes (recollection) and metacognitive beliefs. Several methodological precautions were taken in order to control neuropsychological and psychopathological criteria, like anxiety, depression or objective memory trouble. The "habit paradigm" (Hay & Jacoby, 1999) was used to create ...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Guerdoux E, Martin S, Dressaire D, Adam S, Brouillet D Tags: Can J Aging Source Type: journals

Evaluation of a care pathway in the initiation of calcium and vitamin d treatment of patients after hip fracture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTHip fractures, fragility fractures, indicate an increased risk for further fragility fractures. Although the way to define osteoporosis, requiring antiresorptive therapy, is not clear, all patients who have had hip fractures should be prescribed calcium and vitamin D at a minimum. In a retrospective chart review, we have explored the effectiveness of incorporating a standing recommendation (but not a standing order) for calcium and vitamin D treatment in a hip fracture care pathway, comparing units where the pathway had been implemented with those where it had not yet been started. The pathway resulted in signi...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Crilly RG, Speechley M, Overend TJ, Mackenzie R, Simon S, Cremer S Tags: Can J Aging Source Type: journals

Les activités de groupe des centres de jour pour personnes âgées correspondent-elles aux besoins des différents profils de participants ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was carried out to explore the fit between health and functional characteristics of Day Program participants and the types of program activities they were offered in Day Programs. The subjects were 132 participants from 5 Day Programs in Montreal. Four different participant profile groups were identified using cluster analysis. A classification of program activities was created by a panel of experts. Participation in these activities was studied for each profile group, and compared to recommended activities for such client groups outlined through examination of the literature and consultation with our panel of e...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Savard J, Lebel P, Leduc N, Béland F, Bergman H Tags: Can J Aging Source Type: journals

Use of Health Services for Psychological Distress Symptoms among Community-Dwelling Older Adults.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTTo document the use of health services for psychological distress symptoms, we collected data from a cross-section of adults aged 65 years and over. Nearly 13 per cent met DSM-IV criteria for mood or anxiety disorders. In addition, 42.4 per cent of those having at least one DSM-IV diagnosis reported having used health services. Results show a direct association between the presence of a probable DSM-IV diagnosis and health service use. However, our results show no significant association between gender and health service use, and do not support the hypothesis that minimal social support increases the probabili...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Préville M, Vasiliadis HM, Boyer R, Goldfarb M, Demers K, Brassard J, Béland SG, Tags: Can J Aging Source Type: journals

What is retirement? A review and assessment of alternative concepts and measures.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTBecause the concept of retirement is prominent in both popular thinking and academic studies, it would be helpful if the notion were analytically sound, could be measured with precision, and would make possible comparisons of patterns of retirement over time and among different populations. This paper reviews and assesses the many concepts and measures that have been proposed, summarizing them in groupings that reflect non-participation or reduced participation in the labour force, receipt of pension income, end-of-career employment, self-assessed retirement, or combinations of those characteristics. It conclud...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Denton FT, Spencer BG Tags: Can J Aging Source Type: journals

Nurse practitioner and physician collaboration in long-term care homes: survey results.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ABSTRACTThis survey assessed the extent of and satisfaction with collaboration between physicians and nurse practitioners (NPs) working in Ontario long-term care homes. Questionnaires, which included the Measure of Current Collaboration and Provider Satisfaction with Current Collaboration instruments, were mailed to NPs and physicians with whom the NP most frequently worked. The 14 matched-pairs of NPs and physicians reported similar levels of collaboration; however, physicians were significantly more satisfied with collaboration than were NPs (z = -2.67, p = 0.008). The majority of physicians (85%) and NPs (86%) indic...
Source: Canadian Journal on Aging - March 1, 2009 Category: Geriatrics Authors: Donald F, Mohide EA, Dicenso A, Brazil K, Stephenson M, Akhtar-Danesh N Tags: Can J Aging Source Type: journals

[The elderly driver's perception of risk: do older drivers still express comparative optimism? ]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they compare themselves with average-age drivers than when they compare themselves with same-age drivers. Our results reveal that drivers of more than 65 years do, indeed, express comparative optimism, but, contrary to our expectation, only in a limited number o...
Source: Canadian Journal on Aging - December 17, 2008 Category: Geriatrics Authors: Spitzenstetter F, Moessinger M Tags: Can J Aging Source Type: journals

[Development of the French Canadian version of the Montgomery Borgatta caregiver burden scale]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation. PMID: 18845513 [PubMed - indexed for MEDLINE] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - December 17, 2008 Category: Geriatrics Authors: Farley N, Demers L, Swaine BR Tags: Can J Aging Source Type: journals

[Home care in a culturally sensitive environment: perspectives of caregivers of Haitian elderly patients and relatives]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerated home care providers - all with a view to developing a culturally sensitive service offering. As such, this study works from a conceptual framework centring on the negotiation of a common area of agreement between the stakeholders involved (i.e., natural caregivers and home care provider...
Source: Canadian Journal on Aging - December 17, 2008 Category: Geriatrics Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D Tags: Can J Aging Source Type: journals

[In process citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they compare themselves with average-age drivers than when they compare themselves with same-age drivers. Our results reveal that drivers of more than 65 years do, indeed, express comparative optimism, but, contrary to our expectation, only in a limited number o...
Source: Canadian Journal on Aging - November 4, 2008 Category: Geriatrics Authors: Spitzenstetter F, Moessinger M Tags: Can J Aging Source Type: journals

[In process citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation. PMID: 18845513 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - November 4, 2008 Category: Geriatrics Authors: Farley N, Demers L, Swaine BR Tags: Can J Aging Source Type: journals

[In process citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerated home care providers - all with a view to developing a culturally sensitive service offering. As such, this study works from a conceptual framework centring on the negotiation of a common area of agreement between the stakeholders involved (i.e., natural caregivers and home care provider...
Source: Canadian Journal on Aging - November 4, 2008 Category: Geriatrics Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D Tags: Can J Aging Source Type: journals

Editorial: the "greening" of the canadian journal on aging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18845508 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Rosenberg M Tags: Can J Aging Source Type: journals

Health care aides' struggle to build and maintain relationships with families in complex continuing care settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research on the relationships between health care aides (HCAs) and families of clients has been situated mainly in long-term care settings and includes scant findings about the perceptions of HCAs. Based on the findings of a larger qualitative study using a grounded theory approach, this paper addresses the topic of HCA-family relationships in complex continuing care (CCC). In-depth individual interviews with eight HCAs and a follow-up focus group with HCAs from three CCC facilities were analysed. Building relationships with families entailed "being there for them and their relatives", while maintaining relationships i...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: McGilton KS, Guruge S, Librado R, Bloch L, Boscart V Tags: Can J Aging Source Type: journals

The effect of hearing loss and hearing AIDS on the use of information and communication technologies by community-living older adults.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Innovations in information and communication technologies are changing society, but only 1 in 15 Canadian seniors used a computer at the turn of the millennium (Statistics Canada, 2000). Furthermore, about 1 in 5 Canadian seniors has difficulty hearing, seeing, or communicating. The primary goal of the study was to investigate the relationship between hearing impairment and the use of information and communication technologies by older adults. A questionnaire about use of technologies was administered to 135 older adults and hearing was measured using audiometry. Hearing was found to be related to the extent of use of ...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Gonsalves C, Pichora-Fuller MK Tags: Can J Aging Source Type: journals

Personnes âgées et perception des risques en matière de conduite automobile : les conducteurs âgés manifestent-ils encore de l'optimisme comparatif ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Personnes âgées et perception des risques en matière de conduite automobile : les conducteurs âgés manifestent-ils encore de l'optimisme comparatif ? Can J Aging. 2008;27(2):159-67 Authors: Spitzenstetter F, Moessinger M People frequently express comparative optimism ; that is, they believe they are less likely than average to experience negative events. The aim of the present study is, first, to observe whether people of more than 65 years are still optimists when they evaluate driving-related risks; and second, to test the assumption that older drivers show less optimism when they com...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Spitzenstetter F, Moessinger M Tags: Can J Aging Source Type: journals

Caregiving: predicting at-risk status.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article compares predictors of role-specific burden and two quality-of-life measures among caregivers experiencing heavy care demands to assess role-impact on each. The study included 92 community-based caregivers on Vancouver Island. Predictors included primary stressors, personal resources, and socio-demographic factors. Demands of caregiving emerged as the most significant correlate of role-specific burden and was important for overall well-being indirectly, through burden. Resilience was an important correlate of all three outcomes. Over the year of the study, caregivers improved in all three outcomes examined, bu...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Chappell NL, Dujela C Tags: Can J Aging Source Type: journals

Développement d'une version canadienne-française du Montgomery Borgatta Caregiver Burden Scale.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective burden sub-scale correlates moderately with a measure of functional autonomy (SMAF). Results for the subjective burden scale linked to demand are, however, inadequate. All in all, two of the three sub-scales of the French-Canadian version of the Montgomery Borgatta Caregiver Burden Scale demonstrate adequate psychometric properties, thereby favouring its use in geriatric rehabilitation. PMID: 18845513 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Farley N, Demers L, Swaine BR Tags: Can J Aging Source Type: journals

Des services à domicile culturellement sensibles : perspective des intervenants et des proches-aidantes originaires d'Haïti en tant que cas traceur.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Des services à domicile culturellement sensibles : perspective des intervenants et des proches-aidantes originaires d'Haïti en tant que cas traceur. Can J Aging. 2008;27(2):191-205 Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D In Canada, the care provided by families occurs in an increasingly multiethnic context. Against this backdrop, the present qualitative study aims to explore the needs/expectations and solutions not only of (female) natural caregivers of an elderly relative hailing from Haiti (presented in terms of tracking cases) but also of remunerat...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Ducharme F, Paquet M, Vissandjée B, Carpentier N, Lévesque L, Trudeau D Tags: Can J Aging Source Type: journals

Seniors at Risk: The Association between the Six-Month Use of Publicly Funded Home Support Services and Quality of Life and Use of Health Services for Older People.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examines the baseline characteristics and changes in health status and cost of use of health services associated with use of publicly funded home support services. The analysis includes 122 people 75 years of age or more who were eligible for home support services. Over a 6-month period, one third of the sample used home support services for more than 1 hr/week; these seniors had higher rates of depression and cognitive impairment, lower levels of physical and emotional functioning, and less effective coping styles than those who used fewer services. Cognitive impairment explained 17 per cent of the variation in...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Markle-Reid M, Browne G, Weir R, Gafni A, Roberts J, Henderson S Tags: Can J Aging Source Type: journals

A comparison of Energy Provision by Diet Order in a Long-Term Care Facility.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Involuntary weight loss (IWL) is common in the North American elderly population and affects as many as 60 per cent of nursing home residents, representing a threat to health and function. Investigation into nutrient provision in a long-term care (LTC) centre showed that mean total energy exposure over the 5-week menu cycle differed significantly between regular and puréed diet orders, with lower mean levels of exposure to all three macronutrients on a puréed diet order. There is sufficient evidence that current LTC menus may provide fewer nutrients in those receiving puréed diets that further investigat...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Durant M Tags: Can J Aging Source Type: journals

Francine Ducharme. Famille et soins aux personnes âgées : enjeux, défis et stratégies . Montréal : Beauchemin Chenelière éducation, 2006.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Francine Ducharme. Famille et soins aux personnes âgées : enjeux, défis et stratégies . Montréal : Beauchemin Chenelière éducation, 2006. Can J Aging. 2008;27(2):229-30 Authors: Phaneuf M Famille et soins aux personnes âgées: enjeux, défis et stratégies [Families and care for the elderly: challenges and strategies] provides an overview of ageing in various societies and particularly in this country, and of the repercussions of this phenomenon in terms of the steadily increasing responsibilities of families one of whose members has become vulnerable as the r...
Source: Canadian Journal on Aging - October 11, 2008 Category: Geriatrics Authors: Phaneuf M Tags: Can J Aging Source Type: journals

A Note from the Editor-in-Chief.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18492629 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Rosenberg M Tags: Can J Aging Source Type: journals

Note du rédacteur en chef.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Note du rédacteur en chef. Can J Aging. 2008;27(1):2 Authors: Rosenberg M PMID: 18492630 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Rosenberg M Tags: Can J Aging Source Type: journals

Final Commentary for CJA Supplemental Issue: The Hidden Costs of Care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18492631 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Fast J, Eales J, Keating N Tags: Can J Aging Source Type: journals

Observations finales pour le numéro supplémentaire de la RCV : Les coûts cachés des soins.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Observations finales pour le numéro supplémentaire de la RCV : Les coûts cachés des soins. Can J Aging. 2008;27(1):7-9 Authors: Fast J, Eales J, Keating N PMID: 18492632 [PubMed - in process] (Source: Canadian Journal on Aging)
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Fast J, Eales J, Keating N Tags: Can J Aging Source Type: journals

Planning for End-of-Life Care: Findings from the Canadian Study of Health and Aging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Steps involved in formalizing end-of-life care preferences and factors related to these steps are unclear in the literature. Using data from the third wave of the Canadian Study of Health and Aging (CSHA-3), we examined the relations between demographic and health predictors, on the one hand, and three outcomes, on the other (whether participants had thought about, discussed , or formalized their end-of-life preferences), and considered, as well, whether relations existed among the three outcomes. Canadian region of residence, female gender, and more years of education predicted having thought about preferences; region...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Garrett DD, Tuokko H, Stajduhar KI, Lindsay J, Buehler S Tags: Can J Aging Source Type: journals

The key to me: seniors' perceptions of relationship-building with in-home service providers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Changing demographics and hospital downsizing have placed increasing demands on the home care sector. Many of those receiving in-home care are seniors whose chronic conditions require a collaborative approach. Both providers' paternalistic orientations toward senior clients and seniors' passivity within provider-client interactions have the potential to undermine relationship building. While the former has been documented, how seniors perceive relationship building within the home has received little attention. The purpose of this study was to explore seniors' perspectives on relationship building with in-home provider...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Gantert TW, McWilliam CL, Ward-Griffin C, Allen NJ Tags: Can J Aging Source Type: journals

A Longitudinal Evaluation of Restraint Reduction within a Multi-site, Multi-model Canadian Continuing Care Organization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While American literature on sustaining restraint reduction is relatively robust, there is a lack of research published on the same issue in Canadian continuing care (CC) settings. Statistics from Canada's largest publicly funded and operated CC organization have revealed telling patterns in mechanical restraint use. Over a 4-year study period during a campaign to reduce mechanical restraint use, the organizational prevalence dropped from 24.68 per cent to 16.01 per cent. There was substantial variability in restraint prevalence among the organization's 11 centres (range: 0-39.86% of residents restrained) and all but 1...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Milke DL, Kendall TS, Neumann I, Wark CF, Knopp A Tags: Can J Aging Source Type: journals

Validité et utilité clinique d'une grille d'observation (PACSLAC-F) pour évaluer la douleur chez des aînés atteints de démence vivant en milieu de soins de longue durée.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was completed by nurses working in long-term care facilities after observing 86 seniors, with severe cognitive impairment, in calm, painful or distressing but non-painful situations. The test-retest and inter-observer reliability, the internal consistency, and the discriminent validity wer...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Aubin M, Verreault R, Savoie M, Lemay S, Hadjistavropoulos T, Fillion L, Beaulieu M, Viens C, Bergeron R, Vézina L, Misson L, Fuchs-Lacelle S Tags: Can J Aging Source Type: journals

"Old people are useless": representations of aging on the simpsons.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article looks at how The Simpsons ' representations of aging, considered ageist and stereotypical by some, can be viewed as a positive look at the elderly that attempts to subvert the same stereotypes that it seemingly employs. The Baby Boom cohort is now seen as an attractive economic group, and as they continue their journey through the life cycle, they are drawing increased attention. A current scholarship exists that investigates the ways that the "aged" are seen, catered to, advertised at, seemingly marginalized, and represented in the larger context of the mass media. Relying primarily on the theoretical musings...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Blakeborough D Tags: Can J Aging Source Type: journals

Can canadian seniors on public pensions afford a nutritious diet?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined whether Canada's public pensions (Old Age Security and Canada Pension Plan) provided adequate income for seniors living in Nova Scotia in 2005 to afford a basic nutritious diet. Monthly incomes were compared to essential monthly expenses for four household scenarios: (a) married couple, 80 years and 78 years, in urban Nova Scotia; (b) single male, 77 years in rural Nova Scotia; (c) a couple, 70 years and 65 years, in rural Nova Scotia; (d) widowed female, 85 years, in urban Nova Scotia. The monthly food costs for the four households were CAN$313.32, $193.83, $316.71, and $150.89, respectively. Results s...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Green RJ, Williams PL, Johnson CS, Blum I Tags: Can J Aging Source Type: journals

Mall walking as a physical activity option: results of a pilot project.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to assess the feasibility and benefits (fitness and quality of life) of an 8-week mall-walking program. A total of 52 participants ( n = 39 at post-testing) took part in the pilot project (mean age = 66.4; range 46-83 years), with an overall attendance rate of 62.4 per cent. Participants self-selected pace, time, and frequency. Fitness measures, physical activity behaviour, and quality of life were assessed pre- and post-program. Results indicate a significant improvement in physical activity behaviour and most fitness indices. No quality-of-life changes were found, likely due to the above...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Culos-Reed SN, Stephenson L, Doyle-Baker PK, Dickinson JA Tags: Can J Aging Source Type: journals

"We only own the hours": discontinuity of care in the british columbia home support system.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article uses the concept of continuity of care to examine the implications of health-system restructuring for workers and staff in the BC home support system. Home support primarily serves frail seniors living in poverty and has the potential to provide assistance with tasks like bathing, dressing, and toileting, as well as offer social support and relational care to isolated clients. Through presentation of qualitative data from focus groups and interviews with home support workers and clients in the Greater Vancouver area, we demonstrate how the casualization and intensification of work in a context of increasing cl...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Sharman Z, McLaren AT, Cohen M, Ostry A Tags: Can J Aging Source Type: journals

The nature of relationships in alternative dementia care environments.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this exploratory study was to examine the experiences of older adults with dementia while they were in long-term care and while they were in a summer-camp setting. Participant observation and interviews took place in both settings to gain an understanding of the experiences of seven residents of the long-term care facility. In the participants' experiences in the two contrasting environments, two types of relationships were evident-functional and supportive. Differing strategies were employed by residents within these two types of relationships. Notably, in supportive relationships, participants used hum...
Source: Canadian Journal on Aging - July 14, 2008 Category: Geriatrics Authors: Wiersma EC, Pedlar A Tags: Can J Aging Source Type: journals