Overview of the TILDA Study
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1 Overview of the TILDA Study
2 Overview Sampling frame Wave 1 design & numbers Wave 2 Preparation & timeframe for wave 3
3 TILDA Sample A nationally representative sample of 8,175 adults aged 50 and over, resident in Ireland, was selected from the Irish Geodirectory Each address has an equal probability of selection The selected addresses are then visited by a fieldworker and all persons aged 50 or over (and their spouses of any age) are canvassed to participate in the survey
4 Project Description Computer Assisted Personal Interview (CAPI) Self Completion Questionnaire Health Assessment
5 Demographic data Wave 1 CAPI & Self Reported Questionnaire Data Social support & intergenerational transfers Schooling Transfers to Children & Parents Childhood ADL s IAD s Migration history Helpers Transport Socioeconomic data Psychological Health Employment situation & job history Life events Pensions Depression CES-D 20 items Education Anxiety HADS -A Lifelong learning Worry PSWQ-A ICT Quality of Life CASP-19 Household composition Stress perceived stress scale Sources of income Loneliness - UCLA Health insurance cover Life Satisfaction Ageing Perceptions Questionnaire Financial & other assets Social Connectedness House ownership Verbal Fluency Immediate & delayed recall Prospective memory General health related data Personal health behaviours Self-rated health & Mood status Alcohol Disease history Smoking Falls history Physical activity (IPAQ) Incontinence Sleep Sensory function Chronic pain Current medications (including OTC s) Healthcare utilisation Medical screening
6 REPEAT Wave HEADING 3 Health Assessment HERE Research Focus
7 Health Assessment Cognition Global cognition Sustained attention CRT Executive function Memory Gait & Balance TUG GAITRite* Dual tasks* Balance* Heel U/S* Cardiovascular BP Phasic BP* HRV* PWV* Eye Acuity* Contrast sensitivity * Retinal photo* Macular pigment* General Height & Weight WHR Grip strength *Centre assessment only
8
9 STORAGE (1) Sample tracking (2) Capacity LAB (1) Good IT/ labelling & sample tracking (2) Capacity (3) Weekends COURIER (1) Convenient locations (2) Secure (3) Monday - Saturday PACKAGING (1) Sam ples kept 2-8C (2) Re - usable Blood Collection Model TILDA Participants FLOW ( H ealth SHEET Assessment FOR TILDA Centres BLOOD & Home COLLECTION Assessments ) 25 ml venous blood drawn Dublin HAC Cork HAC Home nurses COURIER Set pick up time in each HAC COURIER Operating via host exchanges/drop off points Within 48 h rs CENTRAL LAB 5 ml Lithium Heparin 10 ml EDTA 10 ml EDTA (covered) Immediate analysis Lipid profile* 1ml buffy coat 3 x 1ml EDTA plasma 3 x 1ml EDTA plasma 1ml buffy coat 1ml EDTA plasma covered 1ml LiH Plasma 5 aliquots frozen at - 80C ** FREEZER #1 5 aliquots frozen at - 80C ** FREEZER #2 Aliquots stored in -80C freezers Cryovials used for potential long term storage in liquid nitrogen DX drop off points At end of Wave 1
10 Wave 1 Response Rates CAPI Interview N=8,504 (62%) TILDA Health Assessment N=6,151 (72%) Health Centre Assessment N= 5,276 (85%) Time = 2½-3 hours + Home Assessment N=875 (14%) Time = 1½ hours Dublin N = 3,795 (72%) Cork N= 1,481 (28%)
11 REPEAT HEADING TILDA HERE longitudinal design CAPI Health Measures
12 Major changes to Wave 2 (CAPI) New questions Composite International Diagnostic Interview (CIDI) Generalised anxiety disorder Major depressive disorder NEO Five Factor (Personality) Inventory (NEO-FFI) 60 items (12 items per domain) Neuroticism, Extraversion, Openness, Agreeableness, Conscientiousness Falls Efficacy Scale International (FES-I) Proxy interviews Institutional interviews End-of-life interviews
13 Wave 2 response rates Interview type Wave 1 Wave 2 n Self (11 carried out in nursing home) Proxy (11 carried out in nursing home) Rate 89.40% *** Excluded from RR% calculation = 349 (198 died; 31 moved abroad; 120 withdrew)
14 Wave 2 response rates Interview type Wave 1 Wave 2 n Self (11 carried out in nursing home) Proxy (11 carried out in nursing home) Rate 89.40% Refusals % Other non-response % Non-contacts % End-of-life % New respondents Total interviews 7615 SCQ % *** Excluded from RR% calculation = 349 (198 died; 31 moved abroad; 120 withdrew)
15 REPEAT HEADING TILDA HERE longitudinal design
16 CAPI New Wave 3 CAPI & Health Measures Coping Inventory for Stressful Situations-Short Form Resilience Motivation for financial transfers Numeracy/Financial literacy Childhood conditions Health Assessment State-Trait Anxiety Inventory (STAI) : State form National Adult Reading Test NART Test of multisensory perception- Sound-induced flash illusion (SHAMS test) Measure of Cerebral Perfusion - Near Infrared Spectroscopy (NIRS) iphone ECG home assessment of arrhythmia Accelerometry measures physical activity & sleep Ultrasound of calf & stomach sarcopenia Hair Sample - Cortisol? Dental check
17 Wave 3 Health Assessment New Features 1 Dublin Supercentre + Home Assessments 92% (5,658) of people who completed a wave 1 health assessment participated in wave 2 CAPI interview Estimate between 5,300-5,800 health assessments Potential increase in the number of people opting for a home assessment
18 FINAL THOUGHTS Irish Social Science Data Archive (ISSDA) Inter University Consortium for Political and Social Research (ICPSR) /Michigan - Wave 2 dataset will be archived in December Interested in collaborating with other research groups Website:
19 FINAL THOUGHTS Publications: Design report 2010 (on website) Fifty Plus in Ireland 2011 first results from TILDA (on website) Cohort Profile International Journal of Epidemiology (Kearney et al, 2011) Journal of the American Geriatrics Society (JAGS) TILDA special issue May 2013
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