OBJECTIVE: Even though the prevalence of @entity146 and social problems is high among elderly @entity1 , it is difficult to detect these in a primary (home) care setting. Goal was the development and preliminary validation of a short observation list to detect six problem areas: @entity148 , @entity308 , cognition, suspicion, loneliness, and somatisation. METHODS: A draft list of indicators identified from a short review of the literature and the opinions of 22 experts was evaluated by general practitioners (GPs) and home care organisations for feasibility. It was then used by GPs and home care personnel to observe @entity1 , who also completed validated tests for @entity74 (General Health Questionnaire 12 item version (GHQ-12)), @entity308 (Geriatric Depression Scale 15-item version (GDS-15)), @entity148 and suspicion (Symptom Checklist-90 (SCL-90)), loneliness (University of California, Los Angeles (UCLA)), somatisation (Illness Attitude Scale (IAS)), and cognition (Mini-Mental State Examination (MMSE)). RESULTS: GPs and home care personnel observed 180 @entity1 (mean age 78.4   years; 66% female) and evaluated the draft list during a regular visit. Cronbach's a was 0.87 for the draft list and >= 0.80 for the draft problem areas (loneliness and suspicion excepted). Principal component analysis identified six components (cognition, @entity308   +   loneliness, somatisation, @entity148   +   suspicion, @entity308 (other signs), and an ambiguous component). Convergent validity was shown for the indicators list as a whole (using the GHQ-12), and the subscales of @entity308 , @entity148 , loneliness, @entity73 . Using pre-set agreed criteria, the list was reduced to 14 final indicators divided over five problem areas. CONCLUSION: The Observation List for @entity146 and social Problems (OLP) proved to be preliminarily valid, reliable, and feasible for use in primary and home care settings. Copyright    John Wliey _ Sons, Ltd.

Development and preliminary validation of an Observation List for detecting XXXX and social Problems in the elderly in primary and home care (OLP).

@entity1 :: ('9606', 'Species') :: ['patients'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity146 :: ('MESH:D001523', 'Disease') :: ['mental disorders'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognition, and somatisation'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity74 :: ('MESH:D030342', 'Disease') :: ['psychological disorders']
@entity146 :: (MESH:D001523,Disease) :: ['mental disorders']
