easy-care program in iran dr reza fadayevatan, md, mph, phd head of ageing department, the...
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EASY-Care program in Iran
Dr Reza Fadayevatan, MD, MPH, PhD
Head of Ageing Department,
The University of Social welfare and Rehabilitation Sciences
Outlines- I
Current status of older people population in
Iran and Tehran
Iran Ministry of Health Program for older
people
Elderly health service package
Outlines- II
EASY-Care in Iran
Undertaken programs
On-going projects
Up-coming programs
Current Status of older people population in Iran (latest census)
Total number of population: 70,495,782
Number of older people population: 5,121,043
Percentage of older people: 7.26%
Number of people aged 100+ in Tehran province:1891
Population of Older people in Tehran
Tehran province:
Total number of population : 13,422,366
Number of older people: 973,183
Different age groups living alone in Tehran
Age groups The number of older people
60-64 14561
65-69 18217
70-74 22043
+ 75 34685
Total 89506
Ageing indexThe ratio of the population of people over 60 years of age
to under 15
1986 1996 2006
Ageing Index
6.68% 10.93% 20.68%
Iran Ministry of Health Program for Older People
Start date: 2005
Setting: 30 cities in Iran
Domains of the package:
Cardiovascular disease Nutritional disease
Diabetes Hearing and seeing
Mental disorders Osteoporosis
Incontinence Dementia
Falls Acute lung tuberculosis
Immunization
Questionnaires of Iran Ministry of Health Program for older people
Questionnaire at first admission
Periodic care forms
Referral forms
Follow up forms
EASY-Care, Mission
“To improve the life of older people through
better assessment and response to their health
and care needs.”
EASY-Care Standard: DomainsBiography & Reason for AssessmentSeeing, Hearing & CommunicatingLooking After YourselfMobilitySafetyAccommodation & FinanceStaying HealthyMental Health and Well-BeingOther Information
Risk of b
reak down in care
Independence Score
Risk of fa
lls
EASY-Care International
Research Network Europe
Belgium
Czech Republic
England
Finland
France
Germany
Greece
Italy
Latvia
Lithuania
Netherlands
Poland
Portugal
Russia
Scotland
Sweden
Switzerland
Turkey
© The University of Sheffield
EASY-Care International
Research Network
Australia
Brazil
Canada
Colombia
Hong Kong
Iran
Malaysia
Taiwan
USA
EASY-Care, Undertaken programs in Iran
2008
Signing the contract with The University of Sheffield
to start the work
2009
Preparatory work;
•Setting, budget, team members, professions
empowerment etc.
To set up a research team
To attend EASY-Care symposium, IAGG, Paris
To attend training course at The University of
Sheffield, University of Warwick and Turkey
2010
Providing project budget
Allocating the office for EASY-Care project at Tehran
University of Medical Sciences (TUMS)
To carry out review of literature
Some courses in methodology of validation studies
1 PhD student on Easy Care (Warwick)
2011 Developing a care-plan for approaching at-risk people
Digitalization
EASY-Care
Care plan
CGA
Developing a protocol for translation and cross-cultural adaptation
using three protocols including:
• IQOLA (International Quality of Life Assessment)
• IPAQ (International Physical Activity Questionnaire)
• WHO recommendations
Psychometric properties of Farsi version of the EASY-Care
instrument (1st ongoing project) Translation
• Forward Translation
• Review and assessment
• Backward Translation
Pilot Study
Main Study
Pilot StudyAims:
1. To assess acceptability of the EASY-Care instrument from perspective of older people
2. To assess acceptability of the EASY-Care instrument from perspective of specialists
Main Study (ongoing project)
AimsInvestigating of validity and reliability, item and
test parameters of Persian version of the EASY-Care standard instrument.
Target Population500 male and female aged 60 and over
Inclusion Criteria:aged 60 and above; having consent
to participate in the study. Exclusion criteria : having significant cognitive
impairment (Abbreviated Mental Test (AMT) <7) and having a diagnosis of psychotic disorders.
Data Analysis
Data analysis will be done based on Classic
Test Theory (CTT) and Item-Response Theory
(IRT).
Comparison of independency score of EASY-Care between Iranian and Portuguese older people: A cross-cultural study (2nd ongoing project)
Aims:
Psychometric properties of independency score of EASY-care
Comparison of classic Test Theory (CTT) and Item Response Theory (IRT)
Cultural differences in Iran and portugal
Methods-IISampling:
The participants recruited through a random sampling, sample of convenience, only consented participants
Sample size:799 (319 Iranian and 460 Portuguese older people)
Methods-IIIMethod
A sample of 319 Iranian and 460 Portuguese older people
were measured using the 18-items independence scale of
the EASY-Care. The data were analyzed using Rasch
rating Scale Model (RSM) by WINSTEPS 3.49 (Linacre,
2004) software program.
Psychometric properties of the EASY-Care standard instrument as a global instrument.(3rd ongoing project)
Aim:
Developing a global assessment instrument for older people is currently being carried out worldwide.
Developing a global instrument through Analyzing data from all countries using IRT
Upcoming programs
Clinical outcome evaluation
Cost effectiveness
Forming the National Advisory Board
Presenting the whole work in the 20th IAGG
conference, Seoul 2013
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