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Community Questionaire

Community participants were interviewed in their homes. The main purpose was to administer the Modified Mini-Mental State exam (3MS) cognitive screening test to identify those who appeared to have cognitive impairments that would merit fuller clinical examination. The 3MS extends the content of the MMSE, using a 0 to 100 response scale in place of the 0 to 30 of the MMSE. Our validity analyses of the CSHA-1 data showed the 3MS to be superior to the MMSE. The community interview also collected social and demographic information, and assessed disability and healthy aging.

Content of the community interviews at each phase of the study (Source references are shown at end of table):

Themes
Topics
Examples of Data Collected
CSHA 1
CSHA 2
CSHA 3
Identification
Demographics
Age
Sex
Language
Ethnicity
Education
Occupational
History
Living Situation
Social Support
Marital status
Who lives with?
Number of children
Number of helpers
Distance to help
People to give support or advice?
Adequacy of support
Home
Owned or rentedQuality of environment

Income
Income meets needs?
Security of income


Health Assessment
Sensory
Eyesight, Hearing
Functional Ability and Frailty
7 ADL and 7 IADL
Use of assistive devices
Timed Up and Go test (2)
Pain
Cognitive screen
3MS (3)
Self-Rating of Health
Summary scale
Recent symptoms
Chronic problems
Psychological well-being (4)
General health questions (5)
Healthy Aging
Psychological adjustment (6)
Hobbies & social activities
Life satisfaction (7,8)
Overall rating
Medical History
History of surgical operations
(Women) Hormone therapy
End-of-Life Care
Living will
Power of attorney

References:

(1) Fillenbaum, GG, Smyer, MA. (1981). The development, validity, and reliability of the OARS Multidimensional Functional Assessment Questionnaire. Journal of Gerontology, 36, 428-434.

(2) Podsiadlo D, Richardson S. (1991). The Timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39, 142-148.

(3) Teng EL, Chui HC. (1987). The Modified Mini-Mental State (3MS) Examination. Journal of Clinical Psychiatry, 48, 314-318.

(4) Berwick DM., et al. (1991). Performance of a five-item mental health screening test. Medical Care, 29, 169-176.

(5) Ounpuu S, et al. (2000). Using the U.S. Behavior Risk Factor Surveillance System’s health related quality of life survey tool in a Canadian city. Canadian Journal of Public Health 91, 67-72.

(6) Ryff CD, Essex MJ. (1991). Psychological well-being in adulthood and old age: descriptive markers and explanatory processes. Annual Review of Gerontology & Geriatrics, 11, 144-171.

(7) Andrews FM., Crandall R. (1976). The validity of measures of self-reported well-being. Social Indicators Research, 3, 1-19.

(8) Stones MJ, et al. (1996). Short Happiness and Affect Research Protocol (SHARP). Social Indicators Research 37, 75-91.

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Click here to download the Community Questionaire (PDF format 150KB)

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