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Secondary Data Analysis in Health Research. March 17 th (Happy St-Pats!) Éric Thériault. Outline. Secondary Data Resident Assessment Instrument (RAI) Differences between Franophones and Anglophones Other Studies done with the RAI Sports and Aging. Secondary Data.
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Secondary Data Analysis in Health Research March 17th (Happy St-Pats!) Éric Thériault
Outline • Secondary Data • Resident Assessment Instrument (RAI) • Differences between Franophones and Anglophones • Other Studies done with the RAI • Sports and Aging
Secondary Data • What is Secondary Data? • Secondary and Primary Data • Examples • Pros and Cons • Uses
Resident Assessment Instrument (RAI) • Resident Assessment Instruments (RAI) include 2 components: an assessment tool (MDS); and a screening protocol . • The instruments were developed and are used in over 30 countries. • There are 5 RAIs each based on an MDS instruments (interrai.org, 2010) • The instruments can be combined into an integrated health assessment system (Morris et al., 1997) • The RAI was originally constructed as a care planning tool, but has been proven to be effective for research (Stones et al., 2006)
RAI • The MDS consists hundreds (over 230) of different items that measure various constructs (Stevenson et al., 2006) • The data is collected by trained assessors, and has been shown to have high levels or reliability (inter-rater) (Morris et al., 1997) • RAPs (CM&MS, 2002) • Depression Rating Scale (Burrows, et al., 2000) • Cognitive Performance Scale (Morris et al., 1994) • Activities of Daily Living Scale (Morris et al., 1999) • RAI-HC Canada
RAI-HC and the Health of Minority Francophones in OntarioSome Context • The largest population of Francophones outside Québec resides in Ontario • There are over 450,000 Francophones in Ontario • 75,500 are over 65 (17% of the Francophone population) (Statistics Canada, 2008) • Most studies are at a national level
Some Context • SES (Picard & Charland, 1999; Bouchard et al., 2006, Wagner et al., 2002; Statistics Canada, 2001) • Health Services Use (Kobayashi, 2003; Bouchard et al., 2006; Picard & Allaire, 2005; Picard & Hébert, 1999) • Physical Health (Picard & Hébert, 1999; Statistics Canada, 2005; 2007; Wharry, 1997; Kopec et al., 2005; 2007; Picard & Allaire, 2005; Statistics Canada, 2007) • Medication Usage (Hogan, 1995; McKellar, 1999; Bouchard et al., 2005) • Mental Health(Cairney & Krause, 2005; Streiner et al., 2006; Bouchard et al., 2006)
Method of the Study (Thériault & Stones, 2009) • RAI-HC data from the 2000 Health Informatics Project • N = 5570 • Females = 69.5%
Results • SES - Significantly more trade-offs • Health Services – MLM significant interaction between the language at the individual and Community level • Physical Health • No differences regarding: lifestyle, oral health, disease diagnoses • Differences in vision and perceived health • iADL and MAPLE • Medication usage – Significantly more medication oversight for Francophones • Mental Health – Psychotropic Medication and DRS • Cognition (CPS) • Communication (Expression and Comprehension)
Disruptive Behaviours and Health (Brink, Stewart & Stones, 2004)
More RAI Research • Disruptive behaviour and antipsychotic medication use in long term care homes(Houlding, Bailey, Thériault et al., 2008) • Disruptive Behaviours related to other issues(Stones, Stewart, & Kirkpatrick, 2003) • Medication Usage (Armstrong, 2008) • Pain and Cognition(Procter & Hirdes, 2004) • Physical functioning changes in residents of LTC Facilities(Richardson, Bédard & Weaver, 2001) • Incontinence and Mood in Long-Term Care (Stones et al., 2007) • Cognition in Aboriginals (Maranzan & Stones, 2008)
