Purpose in Life, Goals, and Expectations

Study Overview
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Brief Summary
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Study investigators are inviting participants to participate in a study to describe older adults' and family caregivers' purpose in life, goals, and expectations for recovery after hospitalization. Study investigators will ask older adults and caregivers to take part in a telephone or online interview to ask questions and answer questionnaires related to their experience with the hospitalization.

Official Title
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Purpose in Life, Goals, and Expectations of Older Adults After Hospitalization and Their Caregivers

Conditions
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Goals

Intervention / Treatment
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* Other: Purpose in life, goals, and expectations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Older adults 60y+ and family caregivers after hospitalization Exclusion Criteria: We will exclude older adults with a dementia diagnosis, head injury, significant neurological impairment, not expected to live for 6 months or longer, or who receive treatment for medical conditions precluding enrolment.
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Purpose in life, goals, and expectations|There is no intervention. This is a cross-sectional study.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Experience and perceptions after hospitalization | Semi-structured interviews | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls Efficacy Scale-International (FES-I) | A measure of a person's concern about falling. There are 16 items, each scored on a Likert scale with 1=not concerned and 4=very concerned. Higher scores indicate higher concerns fro falling. | 1 day | 
| Community Healthy Activities Model Program for Seniors (CHAMPS) Questionnaire | Physical activity questionaire which records the frequency and duration of a person's activities | 1 day | 
| Life-Space questionnaire | A measure of a person's mobility within their home, neighbourhood, and beyond (e.g., spatial movement). Participants respond yes/no to where they have been within the past 3 days (e..g., home, outside home in the neighborhood, etc. | 1 day | 
| Functional Independence Measure | A measure of disability with a focus on self-care, transfers, walking, communication, and social cognition. It is an 18-item (7-level) ordinal scale. For each item (scored 1-7), the higher the score the more dependent the person is on the task. | 1 day | 
| Occupational Balance Questionnaire (Short form) | Records the satisfaction with the amount and variation of a person's activities. It has 11 items with 4-step ordinal scales. Higher scores indicate higher occupational balance. | 1 day | 
| Telephone Interview for Cognitive Status (TICS) to screen for cognitive impairment | A brief assessment of cognition for the telephone. There are 11 items, and the items are summed for a total TICS score. Results compared with previous dat at-scores and described qualitatively:Unimpaired, Ambiguous, Mildly Impaired, and Moderately to Severely Impaired | 1 day | 
| Hospital Anxiety and Depression Scale (HADS) | Measures anxiety and depression in patients. There are 7 questions each for anxiety and depression. The lower the number indicate less anxiety/depression. For example, a score less than 7 is considered a non-case. Scores range from 0-21. | 1 day | 
| Ryff Scales of Psychological Well-Being | A 42-item scale which measures autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. There are 42 statements using a 7-point scale (1 = strongly agree; 7 = strongly disagree). For overall score (all questions), higher scores suggest higher well-being. | 1 day | 
| EQ5D-5L | A self-reported health related quality of life measure. There are 5 categories and the person chooses their responses based on categories, from no problems to extreme problems for each category (mobility, self-care, usual activities, pain, anxiety/depression. An index score is created out of 1; a higher index score the better. participants would also rate their health (0-100) with 100 as the best possible health. The higher the score the | 1 day | 
| ICECAP-O | A self reported capability and well-being measure, with 5 attributes: attachment, security, role, enjoyment, and control. Index values out of 1, a higher value indicates higher reported capability and well-being. | 1 day |