World report on ageing and health: World Health Organization; 2015. A comprehensive health assessment gives nurses insight into a patient's physical status through observation, the measurement of vital signs and self-reported symptoms. Gelberg L, Linn LS, Usatine RP, Smith MH. The latter reflects the specific nature of the study population, and includes additional testing for reliability and external generalizability. Better information on the health needs of people experiencing homelessness is needed to inform effective resourcing, planning and service delivery by government and care organisations. These were then screened according to the review method. Authors were contacted for further information when there was a lack of detail regarding the tool. Fazel S, Geddes JR, Kushel M. The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. 2006;15(3):400–5. J Hum Nutr Diet. Introduction The concept of risk and risk assessments has a long history. Duplicate articles were removed, and remaining articles were independently screened by title and abstract (AB and TD). Library databases were searched in May 2017 and updated in September 2018. These constructs had been identified during interviews with people experiencing homelessness, and were included in the fit-for-purpose tools, rather than existing tools that had been adapted for homeless populations. We report here a more rigorous test of the concept—a randomized controlled trial (RCT) of the use of a health assessment, advocacy and education process, the Comprehensive Health Assessment Programme (CHAP), in general practice. Soc Indic Res. This process protects patients from the risks of unnecessary testing and is cost-effective. Compared with the control group there was a 6.6-fold increase in detection of vision impairment (95% confidence interval 1.9–40); a 30-fold increase in hearing testing (4.0–230); an increase in immunization updates [tetanus/diphtheria a 9-fold increase (4.2–19)], and improvements in women's health screening [Papanicolau smears were eight times more common (1.8–35)]. Unfortunately, the literature has yet to address how to formulate comprehensive mental health counseling programs. Am J Prev Med. Schanzer B, Dominguez B, Shrout PE, Caton CLM. We thank the adults with intellectual disability, their families, carers and GPs, and the Endeavour Foundation. With CINAHL Complete, users get fast and easy full-text access to top journals, evidence-based care sheets, quick lessons and more. Community Dentistry Oral Epidemiol. This is particularly problematic in dietary intake tools where the types of foods used to prompt memory may be inappropriate to circumstances of homelessness, and frequency and location of eating may be variable [50, 56, 60]. Given the close baseline equivalence of the two arms, all analyses are unadjusted for individuals with intellectual disability. However, assessments of physical constructs (such as oral health, anthropometry, vision and hearing) could be applied to homeless people on a presumption of validity, because the constructs would be measured with clinical indicators in the same manner as people living in permanent dwellings. Randomization was concealed, but the nature of the intervention precluded blinding of assignment. They die prematurely, and often have a number of unrecognized or poorly managed medical conditions as well as inadequate health promotion and disease prevention. The results may be less applicable to adults with intellectual disability living in different circumstances, e.g. The whole condition of the patient is taken into consideration for ongoing wellness across the lifespan. Of the residential staff, 26% (intervention) and 36% (control) were male, with mean ages of 47 and 50 years. J Pain Res. Heterogeneity of people experiencing homelessness supports the need for validated tools appropriate to specific subgroups, for example; different sex-age groups, or people with varying language and reading capabilities. It requires reviewers to identify the developmental literature on assessment instruments, and extract information on what psychometric properties were tested (and how), and what information is provided on utility. The health assessment includes an evaluation of social and cultural needs, preferences, strengths and limitations. This process seems to have been reliable, with only 3% disagreement between different data collectors reviewing 16 sets of notes; no differences were relevant to ascertainment of any outcome. Of the 13 studies that used validated tools for the target population, three were classified as NHMRC III-1 [34, 35, 44] (prospective observational cohort studies). Sullivan G, Dumenci L, Burnam A, Koegel P. Validation of the brief Toolal functioning scale in a homeless population. The hierarchy of evidence of the articles reporting on validated tools was assessed based on the National Health and Medical Research Council of Australia (NHMRC) recommendation . 1990;152(1):5–9. McLellan AT, Luborsky L, O’Brien CP, Woody GE. Seattle: WHOQOL Center; 1997. The intervention took place between August 1999 and March 2000. Google Scholar. I. Psychiatr Serv. The definitions of homelessness from the Australian Bureau of Statistics’ (ABS)  used in this review were; a person living in streets or without a shelter that would fall within the scope of living quarters, [if a person has] no place of usual residence who move frequently between various types of accommodation (including dwellings, shelters or other living quarters) or [if a person is] usually resident in long-term shelters or similar arrangements for the homeles (pp. Reliability and validity of the World Health Organization quality of life: brief version (WHOQOL-BREF) in a homeless substance dependent veteran population. The review proposal was registered with PROSPERO (CRD42017068769). Data sources: A systematic literature search was conducted in PubMed (and Medline), PsychInfo, Scopus, CINAHL and ERIC from database inception until September 2018. Of 2122 identified studies, 37 were identified as potentially-relevant (Table 1). Garcia-Rea E, Lepage JP. Where necessary, additional developmental literature for each tool was sourced for information on whether, and how the tool had been validated for the target population. Commission staff working document. Sarajlija M, Jugovic A, Zivaljevic D, Merdovic B, Sarajlija A. Google Scholar. 2014;36(26):2210–5. Cite this article. The comparison group received usual care only. Australian Bureau of Statistics. Grenier A, Barken R, Sussman T, Rothwell D, Bourgeois-Guerin V, Lavoie JP. Dental treatment improves self-rated oral health in homeless veterans--a brief communication. High staff turnover is characteristic of disability services, and in this study only 65 of the original 118 residential care staff could be contacted at its conclusion. PubMed Central Also, an enhanced focus on qualitative benefits for all concerned in the clinical interaction will be highly desirable. Comprehensive geriatric assessment (CGA) is a core and an essential part of the comprehensive care of the aging population. Recalling information over a set time period is a common element in most self-report tools, and this assumes that events of interest have occurred within that time period, and that an individual’s memory allows them to be accurately recalled and expressed. Decayed and missing teeth and oral-health-related factors: predicting depression in homeless people. Health Soc Care Community. Similarly, the validity of objective measures such as anthropometry, vision and hearing could be readily applied in homeless populations, as testing would be presumed to be similar for any adult.
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