EASY-Care program in Iran Dr Reza Fadayevatan, MD, MPH, PhD Head of Ageing Department, The University of Social welfare and Rehabilitation Sciences
Outlines- I Current status of older people population in Iran and Tehran Iran Ministry of Health Program for older people Elderly health service package
Outlines- II EASY-Care in Iran Undertaken programs On-going projects Up-coming programs
Current Status of older people population in Iran (latest census) Total number of population: 70,495,782 Number of older people population: 5,121,043 Percentage of older people: 7.26% Number of people aged 100+ in Tehran province:1891
Population of Older people in Tehran Tehran province: Total number of population : 13,422,366 Number of older people: 973,183
Tehran Different age groups living alone in Age groups 60-64 65-69 70-74 75 + Total The number of older people 14561 18217 22043 34685 89506
Ageing index The ratio of the population of people over 60 years of age to under 15 1986 1996 2006 Ageing Index 6.68% 10.93% 20.68%
Iran Ministry of Health Program for Older People Start date: 2005 Setting: 30 cities in Iran Domains of the package: Cardiovascular disease Diabetes Mental disorders Incontinence Falls Nutritional disease Hearing and seeing Osteoporosis Dementia Acute lung tuberculosis Immunization
Questionnaires of Iran Ministry of Health Program for older people Questionnaire at first admission Periodic care forms Referral forms Follow up forms
EASY-Care, Mission throughpeopleolderoflifetheimproveto better assessment and response to their health andcareneeds.
EASY-Care Standard: Domains Biography & Reason for Assessment Seeing, Hearing & Communicating Looking After Yourself Mobility Safety Accommodation & Finance Staying Healthy Mental Health and Well-Being Other Information
EASY-Care International Research Network Europe Belgium Czech Republic England Finland France Germany Greece Italy Latvia Lithuania Netherlands Poland Portugal Russia Scotland Sweden Switzerland Turkey
EASY-Care International Research Network Australia Brazil Canada Colombia Hong Kong Iran Malaysia Taiwan USA The University of Sheffield
EASY-Care, Undertaken programs in Iran 2008 Signing the contract with The University of Sheffield to start the work
2009 Preparatory work; Setting, budget, team members, professions empowerment etc. To set up a research team To attend EASY-Care symposium, IAGG, Paris To attend training course at The University of Sheffield, University of Warwick and Turkey
2010 Providing project budget Allocating the office for EASY-Care project at Tehran University of Medical Sciences (TUMS) To carry out review of literature Some courses in methodology of validation studies 1 PhD student on Easy Care (Warwick)
2011 Developing a care-plan for approaching at-risk people Digitalization EASY-Care Care plan CGA Developing a protocol for translation and cross-cultural adaptation using three protocols including: IQOLA (International Quality of Life Assessment) IPAQ (International Physical Activity Questionnaire) WHO recommendations
Psychometric properties of Farsi version of the EASY-Care instrument (1 st ongoing project) Translation Forward Translation Review and assessment Backward Translation Pilot Study Main Study
Pilot Study Aims: 1. To assess acceptability of the EASY-Care instrument from perspective of older people 2. To assess acceptability of the EASY-Care instrument from perspective of specialists
Main Study (ongoing project) Aims Investigating of validity and reliability, item and test parameters of Persian version of the EASY-Care standard instrument. Target Population 500 male and female aged 60 and over
Inclusion Criteria: aged 60 and above; having consent to participate in the study. Exclusion criteria : having significant cognitive impairment (Abbreviated Mental Test (AMT) <7) and having a diagnosis of psychotic disorders.
Data Analysis Data analysis will be done based on Classic Test Theory (CTT) and Item-Response Theory (IRT).
Comparison of independency score of EASY-Care between Iranian and Portuguese older people: A cross-cultural study (2 nd ongoing project)
Aims: Psychometric properties of independency score of EASY-care Comparison of classic Test Theory (CTT) and Item Response Theory (IRT) Cultural differences in Iran and portugal
Methods-II Sampling: The participants recruited through a random sampling, sample of convenience, only consented participants Sample size: 799 (319 Iranian and 460 Portuguese older people)
Methods-III Method A sample of 319 Iranian and 460 Portuguese older people were measured using the 18-items independence scale of the EASY-Care. The data were analyzed using Rasch rating Scale Model (RSM) by WINSTEPS 3.49 (Linacre, 2004) software program.
Psychometric properties of the EASY- Care standard instrument as a global instrument.(3 rd ongoing project) Aim: Developing a global assessment instrument for older people is currently being carried out worldwide. Developing a global instrument through Analyzing data from all countries using IRT
Upcoming programs Clinical outcome evaluation Cost effectiveness Forming the National Advisory Board Presenting the whole work in the 20 th IAGG conference, Seoul 2013
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