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3 fadayvatan-easy care in iran, prague 2012
1. EASY-Care program
in Iran
Dr Reza Fadayevatan, MD, MPH, PhD
Head of Ageing Department,
The University of Social welfare and Rehabilitation Sciences
2. Outlines- I
Current status of older people population in Iran
and Tehran
Iran Ministry of Health Program for older people
Elderly health service package
4. 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
5. Population of Older people in Tehran
Tehran province:
Total number of population : 13,422,366
Number of older people: 973,183
6. 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
7. Ageing index
The ratio of the population of people over 60 years of age
to under 15
1986 1996 2006
Ageing 6.68% 10.93% 20.68%
Index
8. 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
9. Questionnaires of Iran Ministry of
Health Program for older people
Questionnaire at first admission
Periodic care forms
Referral forms
Follow up forms
10. EASY-Care, Mission
“To improve the life of older people through
better assessment and response to their health
and care needs.”
11. EASY-Care Standard: Domains
Biography & Reason for Assessment
Seeing, Hearing & Communicating c a re
Looking After Yourself in
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Mobility do
eak o re
br Sc
Safety of nc
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Accommodation & Finance R isk nd
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dep all
s
Staying Healthy In ff
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Mental Health and Well-Being
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Other Information
12. EASY-Care International
Research Network Europe
Belgium Latvia
Lithuania
Czech Republic Netherlands
England Poland
Finland Portugal
France Russia
Germany Scotland
Greece Sweden
Italy Switzerland
Turkey
15. 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
16. 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)
17. 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
18. 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
19. Pilot Study
Aims:
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
20. Main Study (ongoing project)
Aims
Investigating of validity and reliability, item and test
parameters of Persian version of the EASY-Care
standard instrument.
Target Population
500 male and female aged 60 and over
21. 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.
22. Data Analysis
Data analysis will be done based on Classic Test Theory
(CTT) and Item-Response Theory (IRT).
23. Validation process based on CTT
Assessing reliability
Test-retest conducted as reproducibility measure after a two
week interval.
Internal consistency was measured with Cronbach’s alpha.
Inter-rater reliability was estimated based on the correlation
of scores between two raters who rate the EASY-Care.
24. Investigating validity
Content validity assessed in an expert panel
Construct-related validity
Confirmatory Factor Analysis
Exploratory Factor Analysis
• Concurrent validity will be assessed using correlation
with SF-36 and AMT.
25. Ethical Considerations
The study was approved by Research Ethics
Committee of the University of Social Welfare and
Rehabilitation Sciences on 20/05/2010 and all
participants gave a written consent form and an
information sheet inviting them to take part in the
study which included coverage of the aim of the
study. Participation in this study is voluntary. Study
26. Comparison of independency score of
EASY-Care between Iranian and Portuguese
older people: A cross-cultural study
(2nd ongoing project)
27. 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
28. Methods-II
Sampling:
The participants recruited through a random
sampling, sample of convenience, only consented
participants
Sample size:
799 (319 Iranian and 460 Portuguese older people)
29. Methods-III
Method
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.
30. 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
31. Upcoming programs
Clinical outcome evaluation
Cost effectiveness
Forming the National Advisory Board
Presenting the whole work in the 20 th IAGG
conference, Seoul 2013