Applicability of the 48/6 Model of Care as a Health Screening Tool, and its Association with Mobility in Community-Dwelling Older Adults
Journal of Korean Medical Science
; : 43-2020.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-810959
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
The 48/6 Model of Care is an integrative care initiative for improving the health outcomes of hospitalized older patients; however, its applicability in community-dwelling older adults as a health screening tool has not been investigated. The present study aimed to examine the applicability of this model, prevalence of dysfunction in 6 care areas, and its relationship with self-reported mobility in community-dwelling older adults.METHODS:
This was a cross-sectional survey study of community-dwelling adults aged 65 or older. Participants were screened for problems using 9 items corresponding to the 6 care areas of the 48/6 Model of Care (cognitive functioning, functional mobility, pain management, nutrition and hydration, bladder and bowel management, and medication management). Mobility was assessed via the Life-Space Assessment (LSA). We examined the correlation between each screening item and the LSA.RESULTS:
A total of 444 older adults (260 women, 58.6%) participated. The mean number of health problems was 2.3 ± 2.1, with the most common being pain, cognitive impairment, and urinary incontinence. These problems and LSA scores were significantly different by age groups. A multiple regression analysis showed that polypharmacy (β = −10.567, P < 0.001), dysphagia (β = −9.610, P = 0.021), and pain (β = −7.369, P = 0.004) were significantly associated with life-space mobility after controlling for age.CONCLUSION:
The 48/6 Model of Care is applicable to community-dwelling older adults, who show high prevalence of dysfunction in the 6 care areas. This study supports the role of the model in screening for the health status of older adults living in the community, and in estimating mobility.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Urinary Incontinence
/
Urinary Bladder
/
Deglutition Disorders
/
Mass Screening
/
Prevalence
/
Cross-Sectional Studies
/
Cognition Disorders
/
Polypharmacy
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Pain Management
Type of study:
Diagnostic study
/
Observational study
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Prevalence study
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Prognostic study
/
Risk factors
/
Screening study
Aspects:
Patient-preference
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2020
Document type:
Article