Psychometric Properties of the Elderly Health Questionnaire Among Community-dwelling Older People

Study Overview
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Brief Summary
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The aims of this study are to validate the reliability and validity of Elderly Health Questionnaire in assessing frailty risk of community-dwelling older adults.

Detailed Description
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The aims of this study are to validate the test-retest reliability, internal consistency, criterion-related validity, predictive validity and construct validity of Elderly Health Questionnaire in assessing frailty risk of community-dwelling older adults. The investigators conduct a prospective study to require data of health states, function, lifestyle and quality of life in community-dwelling older adults ,and will recruit about 150 subjects in NTUH and communities in Taipei City. The investigators analyze the (change) scores of Elderly Health Questionnaire to test the internal consistency and test-retest reliability. Also, the investigators test the correlation between the scores of Elderly Health Questionnaire and the scores of the other measurements (i.e., HELP-T, WHOQOL-BREF, MoCA, SPPB, UPSA-B) to validate the concurrent validity, and the correlation between the scores of Elderly Health Questionnaire and the scores of CFS to validate predictive validity. The construct validity is validated by exploratory factor analysis.

Official Title
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Psychometric Properties of the Elderly Health Questionnaire in Frailty Risk Assessment Among Community-dwelling Older People

Conditions
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Frailty

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged > 65 years old able to read Clinical frailty scale ≦ 6 Exclusion Criteria: diagnosed as dementia or schizophrenia active cancer receiving treatment terminal cancer patient hospitalization in 1 month with implantable device couldn't follow the instructions wheelchair bound

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Elderly Health Questionnaire | It is a self-report questionnaire about frailty and health conditions. Each item is scored 0 or 1, yielding a total of 0-70. The scores range from 0 (best performance) to 70 (worst performance). | an average of 2-4 weeks between pretest and posttest (baseline, week 2-4) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Taiwanese version of the Health Enhancement Lifestyle Profile (HELP-T) | HELP-T is a 59-item self-report questionnaire measuring various aspects of health-related lifestyles in older adults. The scores range from 0 (worst performance) to 118 (best performance). | pretest (baseline) | 
| WHOQOL-BREF Taiwan version | It is a cultural-specific self-report questionnaire measuring health-related quality of life in Taiwan. The scores range from 0 (worst QoL) to 100 (best QoL). | pretest (baseline) | 
| Short physical performance battery (SPPB) | SPPB is a group of measures that combines the results of the gait speed, chair stand and balance tests. It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people. The scores range from 0 (worst performance) to 4 (best performance). | pretest (baseline) | 
| Montreal Cognitive Assessment (MoCA) | The MoCA is a cognitive screening test designed to assist health professionals in the detection of mild cognitive impairment and Alzheimer's disease. The MoCA Test was validated in the setting of mild cognitive impairment (MCI), and has been subsequently adopted in numerous clinical settings. The sensivity of the MoCA for detecting MCI is 90%, compared to 18% for other leading cognitive screening tools such as the MMSE. The scores range from 0 (worst performance) to 30 (best performance). | pretest (baseline) | 
| Brief University of California at San Diego Performance-Based Skills Assessment (UPSA-B) | UPSA-B is a shorter version of the UPSA-2 that uses only the financial skills and communication skills subscales (i.e. counting change, telephone calls, and paying bills). This version of the UPSA takes approximately 15 minutes to complete and has been shown to be an accurate predictor of patient ability to live independently, as compared to the full version of the UPSA. The scores range from 0 (worst performance) to 20 (best performance). | pretest (baseline) | 
| Canadian Study of Health and Aging Clinical Frailty Scale (CFS) | CFS is a frailty tool derived using data from the Canadian Study of Health and Aging, a national 5-year prospective cohort study. The CFS is a judgment-based scale that considers clinical data on a patient's cognition, mobility, function, and comorbidities. The scores range from 1 (very fit) to 9 (terminally ill). | pretest (baseline) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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frailty, older adults, instrument, community