Vjenka Garms-homolová - Academia.edu (original) (raw)
Papers by Vjenka Garms-homolová
Journal of the American Medical Directors Association, 2019
Gérontologie et société
Distribution électronique Cairn.info pour Fondation Nationale de Gérontologie. © Fondation Nation... more Distribution électronique Cairn.info pour Fondation Nationale de Gérontologie. © Fondation Nationale de Gérontologie. Tous droits réservés pour tous pays. La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
The European health psychologist, Dec 31, 2017
Background: Walking speed and distance have emerged as reliable predictors of physical and cognit... more Background: Walking speed and distance have emerged as reliable predictors of physical and cognitive health in old age. We examined whether these measures and two related items (time spent exercising, number of days outside in the last three days) are relevant predictors of everyday activities (housework) and for components of socioemotional status (depressed mood, negativity, fear, anger, social participation, loneliness). Methods: Participants were 2,584 community-dwelling homecare clients (65–105 years, M=83.09) from six European countries assessed with the interRAI Homecare instrument. Exclusion criteria were severe foot problems, being bedridden or comatose, and receiving palliative care. Cross-sectional path models were implemented in MPlus. Findings: Longer distances walked were associated with higher scores on capacity for and actual performance of housework (b=-.48 SE=.06, p<.01, and b=-.42, SE=.06, p<.01, respectively). A longer duration of walks was associated with more frequent participation in hobbies (b=.29, SE=.06, p<.01) and more visits with family and friends (b=.13, SE=.04, p<.01). More time spent exercising was associated with higher scores on capacity for and actual performance of housework (b=-.39, SE=.06, p<.01 and b=-.32, SE=.06, p<.01, respectively), more participation in hobbies (b=.25, SE=.05, p<.01) and less decrease in social participation (b=-.19, SE=.05, p<.01). All associations held when controlling for ADLs and health. Discussion: Walking and physical exercise may help to preserve homecare clients’ engagement in everyday and social activities. Distinct facets of walking and exercise seem to be relevant for activities in different domains.
BioMed Research International, 2016
Cognitive decline impacts older adults, particularly their independence. The goal of this project... more Cognitive decline impacts older adults, particularly their independence. The goal of this project was to increase understanding of how short-term, everyday lifestyle options, including physical activity, help an older adult sustain cognitive independence. Using a secondary analysis of lifestyle choices, we drew on a dataset of 4,620 community-dwelling elders in the US, assessed at baseline and one year later using 2 valid and reliable tools, the interRAI Community Health Assessment and the interRAI Wellness tool. Decline or no decline on the Cognitive Performance Scale was the dependent variable. We examined sustaining one's status on this measure over a one-year period in relation to key dimensions of wellness through intellectual, physical, emotional, social, and spiritual variables. Engaging in physical activity, formal exercise, and specific recreational activities had a favorable effect on short-term cognitive decline. Involvement with computers, crossword puzzles, handicrafts, and formal education courses also were protective factors. The physical and intellectual domains of wellness are prominent aspects in protection from cognitive decline. Inherent in these two domains are mutable factors suitable for targeted efforts to promote older adult health and well-being.
Health Services Insights, 2021
This study aims to benchmark mean societal costs per client in different home care models and to ... more This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance...
The European health psychologist, 2017
Background: Walking speed and distance have emerged as reliable predictors of physical and cognit... more Background: Walking speed and distance have emerged as reliable predictors of physical and cognitive health in old age. We examined whether these measures and two related items (time spent exercising, number of days outside in the last three days) are relevant predictors of everyday activities (housework) and for components of socioemotional status (depressed mood, negativity, fear, anger, social participation, loneliness). Methods: Participants were 2,584 community-dwelling homecare clients (65–105 years, M=83.09) from six European countries assessed with the interRAI Homecare instrument. Exclusion criteria were severe foot problems, being bedridden or comatose, and receiving palliative care. Cross-sectional path models were implemented in MPlus. Findings: Longer distances walked were associated with higher scores on capacity for and actual performance of housework (b=-.48 SE=.06, p<.01, and b=-.42, SE=.06, p<.01, respectively). A longer duration of walks was associated with ...
Frontiers in Medicine, 2021
Objectives: Research on life stressors and adverse life events has a long tradition. Few studies ... more Objectives: Research on life stressors and adverse life events has a long tradition. Few studies have addressed this topic in connection to very old people. Life stressors, especially major life stressors (MLSs) experienced by clients of home care services in the community have rarely been the subject of studies. Considering this gap, we investigated the prevalence of MLSs in home care clients. We examined the effects that MLSs have on their mood and health status as well as the impact of clients' social resources on MLSs and their outcomes. Method: We used assessment data from 2,884 home care clients in six European countries. The methodological basis was the comprehensive and standardized interRAI Home Care Assessment (interRAI HC). Results: Fifteen point four percent of the sample—that consisted of women and men with an average age of 82.89 years–experienced an MLS in the last 6 months before the assessment. They were more depressed than persons without these experiences, and...
BMC Health Services Research, 2019
Journal of the American Medical Directors Association, 2019
Aging clinical and experimental research, Jan 16, 2018
Drugs may interact with geriatric syndromes by playing a role in the continuation, recurrence or ... more Drugs may interact with geriatric syndromes by playing a role in the continuation, recurrence or worsening of these conditions. Aim of this study is to assess the prevalence of interactions between drugs and three common geriatric syndromes (delirium, falls and urinary incontinence) among older adults in nursing home and home care in Europe. We performed a cross-sectional multicenter study among 4023 nursing home residents participating in the Services and Health for Elderly in Long-TERm care (Shelter) project and 1469 home care patients participating in the Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project. Exposure to interactions between drugs and geriatric syndromes was assessed by 2015 Beers criteria. 790/4023 (19.6%) residents in the Shelter Project and 179/1469 (12.2%) home care patients in the IBenC Project presented with one or more drug interactions with geriatric syndromes. In the Shelter project, 28...
International Journal of Nursing Studies, 2017
BMC health services research, Aug 25, 2016
The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care a... more The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care and service needs, resource utilisation and health outcomes of community dwelling home care clients. Potentially, the interRAI-HC can also be used to calculate societal costs in economic evaluations. The purpose of this study was to assess the convergent validity of the interRAI-HC instrument in comparison with the RUD Lite instrument for the calculation of societal costs among care-dependent community dwelling older adults. A within-subject design was used. Participants were 65 years and older and received professional community care in five countries. The RUD Lite was administered by trained (research) nurses or self-reports within 4 weeks after the interRAI-HC assessment. Agreement between the interRAI-HC and RUD Lite estimates was assessed using Spearman's correlation coefficients. We hypothesised that there was strong correlation (Spearman's ρ > 0.5) between resource utili...
Journal of geriatric psychiatry and neurology, Jan 6, 2015
This study presents the first update of the Cognitive Performance Scale (CPS) in 20 years. Its go... more This study presents the first update of the Cognitive Performance Scale (CPS) in 20 years. Its goals are 3-fold: extend category options; characterize how the new scale variant tracks with the Mini-Mental State Examination; and present a series of associative findings. Secondary analysis of data from 3733 older adults from 8 countries was completed. Examination of scale dimensions using older and new items was completed using a forward-entry stepwise regression. The revised scale was validated by examining the scale's distribution with a self-reported dementia diagnosis, functional problems, living status, and distress measures. Cognitive Performance Scale 2 extends the measurement metric from a range of 0 to 6 for the original CPS, to 0 to 8. Relating CPS2 to other measures of function, living status, and distress showed that changes in these external measures correspond with increased challenges in cognitive performance. Cognitive Performance Scale 2 enables repeated assessmen...
Aging Clinical and Experimental Research, 2004
Health Services Insights, 2019
Most countries aim to allocate home health care to those in need in a fair and equal way. Equal a... more Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries ( www.ibenc.eu ). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample’s mean formal hours with recipients’ case mix weights from interRAI’s resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries ...
Sozialpsychologie der Zuneigung, Aufopferung und Gewalt, 2022
Supplemental material, sj-docx-1-his-10.1177_1178632920980462 for Development and Validation of a... more Supplemental material, sj-docx-1-his-10.1177_1178632920980462 for Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study by Lisanne I van Lier, Judith E Bosmans, Henriëtte G van der Roest, Martijn W Heymans, Vjenka Garms-Homolová, Anja Declercq, Pálmi V Jónsson and Hein PJ van Hout in Health Services Insights
Journal of the American Medical Directors Association, 2019
Gérontologie et société
Distribution électronique Cairn.info pour Fondation Nationale de Gérontologie. © Fondation Nation... more Distribution électronique Cairn.info pour Fondation Nationale de Gérontologie. © Fondation Nationale de Gérontologie. Tous droits réservés pour tous pays. La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
The European health psychologist, Dec 31, 2017
Background: Walking speed and distance have emerged as reliable predictors of physical and cognit... more Background: Walking speed and distance have emerged as reliable predictors of physical and cognitive health in old age. We examined whether these measures and two related items (time spent exercising, number of days outside in the last three days) are relevant predictors of everyday activities (housework) and for components of socioemotional status (depressed mood, negativity, fear, anger, social participation, loneliness). Methods: Participants were 2,584 community-dwelling homecare clients (65–105 years, M=83.09) from six European countries assessed with the interRAI Homecare instrument. Exclusion criteria were severe foot problems, being bedridden or comatose, and receiving palliative care. Cross-sectional path models were implemented in MPlus. Findings: Longer distances walked were associated with higher scores on capacity for and actual performance of housework (b=-.48 SE=.06, p<.01, and b=-.42, SE=.06, p<.01, respectively). A longer duration of walks was associated with more frequent participation in hobbies (b=.29, SE=.06, p<.01) and more visits with family and friends (b=.13, SE=.04, p<.01). More time spent exercising was associated with higher scores on capacity for and actual performance of housework (b=-.39, SE=.06, p<.01 and b=-.32, SE=.06, p<.01, respectively), more participation in hobbies (b=.25, SE=.05, p<.01) and less decrease in social participation (b=-.19, SE=.05, p<.01). All associations held when controlling for ADLs and health. Discussion: Walking and physical exercise may help to preserve homecare clients’ engagement in everyday and social activities. Distinct facets of walking and exercise seem to be relevant for activities in different domains.
BioMed Research International, 2016
Cognitive decline impacts older adults, particularly their independence. The goal of this project... more Cognitive decline impacts older adults, particularly their independence. The goal of this project was to increase understanding of how short-term, everyday lifestyle options, including physical activity, help an older adult sustain cognitive independence. Using a secondary analysis of lifestyle choices, we drew on a dataset of 4,620 community-dwelling elders in the US, assessed at baseline and one year later using 2 valid and reliable tools, the interRAI Community Health Assessment and the interRAI Wellness tool. Decline or no decline on the Cognitive Performance Scale was the dependent variable. We examined sustaining one's status on this measure over a one-year period in relation to key dimensions of wellness through intellectual, physical, emotional, social, and spiritual variables. Engaging in physical activity, formal exercise, and specific recreational activities had a favorable effect on short-term cognitive decline. Involvement with computers, crossword puzzles, handicrafts, and formal education courses also were protective factors. The physical and intellectual domains of wellness are prominent aspects in protection from cognitive decline. Inherent in these two domains are mutable factors suitable for targeted efforts to promote older adult health and well-being.
Health Services Insights, 2021
This study aims to benchmark mean societal costs per client in different home care models and to ... more This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance...
The European health psychologist, 2017
Background: Walking speed and distance have emerged as reliable predictors of physical and cognit... more Background: Walking speed and distance have emerged as reliable predictors of physical and cognitive health in old age. We examined whether these measures and two related items (time spent exercising, number of days outside in the last three days) are relevant predictors of everyday activities (housework) and for components of socioemotional status (depressed mood, negativity, fear, anger, social participation, loneliness). Methods: Participants were 2,584 community-dwelling homecare clients (65–105 years, M=83.09) from six European countries assessed with the interRAI Homecare instrument. Exclusion criteria were severe foot problems, being bedridden or comatose, and receiving palliative care. Cross-sectional path models were implemented in MPlus. Findings: Longer distances walked were associated with higher scores on capacity for and actual performance of housework (b=-.48 SE=.06, p<.01, and b=-.42, SE=.06, p<.01, respectively). A longer duration of walks was associated with ...
Frontiers in Medicine, 2021
Objectives: Research on life stressors and adverse life events has a long tradition. Few studies ... more Objectives: Research on life stressors and adverse life events has a long tradition. Few studies have addressed this topic in connection to very old people. Life stressors, especially major life stressors (MLSs) experienced by clients of home care services in the community have rarely been the subject of studies. Considering this gap, we investigated the prevalence of MLSs in home care clients. We examined the effects that MLSs have on their mood and health status as well as the impact of clients' social resources on MLSs and their outcomes. Method: We used assessment data from 2,884 home care clients in six European countries. The methodological basis was the comprehensive and standardized interRAI Home Care Assessment (interRAI HC). Results: Fifteen point four percent of the sample—that consisted of women and men with an average age of 82.89 years–experienced an MLS in the last 6 months before the assessment. They were more depressed than persons without these experiences, and...
BMC Health Services Research, 2019
Journal of the American Medical Directors Association, 2019
Aging clinical and experimental research, Jan 16, 2018
Drugs may interact with geriatric syndromes by playing a role in the continuation, recurrence or ... more Drugs may interact with geriatric syndromes by playing a role in the continuation, recurrence or worsening of these conditions. Aim of this study is to assess the prevalence of interactions between drugs and three common geriatric syndromes (delirium, falls and urinary incontinence) among older adults in nursing home and home care in Europe. We performed a cross-sectional multicenter study among 4023 nursing home residents participating in the Services and Health for Elderly in Long-TERm care (Shelter) project and 1469 home care patients participating in the Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project. Exposure to interactions between drugs and geriatric syndromes was assessed by 2015 Beers criteria. 790/4023 (19.6%) residents in the Shelter Project and 179/1469 (12.2%) home care patients in the IBenC Project presented with one or more drug interactions with geriatric syndromes. In the Shelter project, 28...
International Journal of Nursing Studies, 2017
BMC health services research, Aug 25, 2016
The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care a... more The interRAI-Home Care (interRAI-HC) instrument is commonly used in routine care to assess care and service needs, resource utilisation and health outcomes of community dwelling home care clients. Potentially, the interRAI-HC can also be used to calculate societal costs in economic evaluations. The purpose of this study was to assess the convergent validity of the interRAI-HC instrument in comparison with the RUD Lite instrument for the calculation of societal costs among care-dependent community dwelling older adults. A within-subject design was used. Participants were 65 years and older and received professional community care in five countries. The RUD Lite was administered by trained (research) nurses or self-reports within 4 weeks after the interRAI-HC assessment. Agreement between the interRAI-HC and RUD Lite estimates was assessed using Spearman's correlation coefficients. We hypothesised that there was strong correlation (Spearman's ρ > 0.5) between resource utili...
Journal of geriatric psychiatry and neurology, Jan 6, 2015
This study presents the first update of the Cognitive Performance Scale (CPS) in 20 years. Its go... more This study presents the first update of the Cognitive Performance Scale (CPS) in 20 years. Its goals are 3-fold: extend category options; characterize how the new scale variant tracks with the Mini-Mental State Examination; and present a series of associative findings. Secondary analysis of data from 3733 older adults from 8 countries was completed. Examination of scale dimensions using older and new items was completed using a forward-entry stepwise regression. The revised scale was validated by examining the scale's distribution with a self-reported dementia diagnosis, functional problems, living status, and distress measures. Cognitive Performance Scale 2 extends the measurement metric from a range of 0 to 6 for the original CPS, to 0 to 8. Relating CPS2 to other measures of function, living status, and distress showed that changes in these external measures correspond with increased challenges in cognitive performance. Cognitive Performance Scale 2 enables repeated assessmen...
Aging Clinical and Experimental Research, 2004
Health Services Insights, 2019
Most countries aim to allocate home health care to those in need in a fair and equal way. Equal a... more Most countries aim to allocate home health care to those in need in a fair and equal way. Equal allocation implies that the amount of home care a person receives would reflect the level of health impairment and the need for resources. It is not clear whether countries succeed in attaining this. Our objective was to explore signs of (un)equal home health care provisioning across care organizations and across European health countries. We used data of the IBenC study collected from 2718 older community care recipients from 33 organizations in 6 Western European countries ( www.ibenc.eu ). We benchmarked differences of provided and expected formal care time across organizations and countries. Expected formal care hours were estimated by multiplying the overall sample’s mean formal hours with recipients’ case mix weights from interRAI’s resources utilization group profiles. We found substantial variations in provided formal care time among organizations both within and across countries ...
Sozialpsychologie der Zuneigung, Aufopferung und Gewalt, 2022
Supplemental material, sj-docx-1-his-10.1177_1178632920980462 for Development and Validation of a... more Supplemental material, sj-docx-1-his-10.1177_1178632920980462 for Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study by Lisanne I van Lier, Judith E Bosmans, Henriëtte G van der Roest, Martijn W Heymans, Vjenka Garms-Homolová, Anja Declercq, Pálmi V Jónsson and Hein PJ van Hout in Health Services Insights