Hospital and long-term care facility utilization, mortality and functional status over a 12-month follow-up period are described for elderly home care recipients who had been discharged from an acute care hospital. Of those eligible for receipt of services from the Program, 356 (92%) patients 65 years of age and older agreed to participate in the study at the time of discharge from an acute care hospital. Of these, 82.2 per cent survived during the subsequent 12 months, 44 per cent were readmitted to hospital, and 5 per cent were admitted to a nursing home or home for the aged. After adjusting for socio-demographic and health variables using regression analyses, the total number of home care services received was significantly associated with physical function and social function at 12 months. Similarly, the analyses revealed home care “social services” (social worker visits, meals on wheels, visiting home maker visits and volunteer visits) received were significantly associated with morale at 12 months. The clinical significance of these findings for case-management and home care program management and monitoring are discussed.

The object of the present research is to validate a French version of the Geriatric Depression Scale (GDS). The version entitled “Échelle de dépression gériatrique” (EDG) was administered to a sample of 643 elderly Francophones from the provinces of New Brunswick and Quebec. The psychometric characteristics indicate that the EDG is a valid and reliable scale. The utility of the EDG as a screening measure for geriatric depression is discussed.

Clients who were either admitted to a long-term care program (N = 7251) or assessed but not admitted to the program (N = 1680) were evaluated for their utilization of health care services in 1981–82. Mean utilization values were calculated and analyses of variance were performed in order to respond to: a) whether utilization patterns of clients admitted to the program differed from patterns of clients who were not admitted; b) whether clients admitted to institutions were different from clients admitted to the program who stayed at home. The data show that among clients who were not admitted to the program utilization levels nearly tripled during the year following assessments. Among clients who were admitted to the program, hospital use decreased for facility dwellers only. The findings suggest that admission to the program can reduce health care utilization particularly if medical surveillance is provided in institutions.

An experiment is reported that examines kinematic measures, reaction time and response preparation differences between young and older adults, and movement response parameters in a precueing paradigm. Ten young and ten older adults performed 5 cm or 10 cm horizontal movements to the left or right with an electronic pen on a digitizing tablet. The precue (advance information) provided information about direction, extent, or both parameters. Dependent measures of reaction time (RT), movement time (MT), peak velocity, peak acceleration, peak deceleration, and their respective time values were analysed. The results indicate that young adults were significantly different on all dependent measures. Advance precue information was advantageous for all subjects as RT was faster when advance information was provided. In addition, both groups of subjects produced higher peak velocities when provided advance information about both direction and extent. Examination of the kinematics indicate that older adults produce movement patterns which display different response characteristics such as accelerating less rapidly and displaying a prolonged deceleration phase. Finally, older adults are less efficient than young adults at scaling velocity and acceleration over time between long and short movements when spatial accuracy constraints are minimal.

This paper examines subjective well-being among Native and non-Native elderly persons. Though much has been written about Natives as a disadvantaged group in terms of income, education and health, studies which examine the subjective well-being of Natives are virtually non-existent. Subjective well-being is measured as general satisfaction with life and loneliness in this paper. Independent variables include demographic, health and social indicators. Natives have significantly lower life satisfaction than non-Natives. However, logistic regression analyses indicate that health and social factors are the major predictors of quality of life. While Natives experience a lower quality of life, it is accounted for by their worse health and disadvantaged social circumstances and is not attributable to being Native per se.

In an experimental evaluation of a “friendly visitor” type of program in which adolescents visited senior citizens, it was found that general attitudes toward elderly people (measured by the Semantic Differential developed by Rosencranz and McNevin) improved following weekly contact with specific elderly persons. One of the weaknesses in research on this type of intervention has been the assumption that the quality of the contact was uniform, and the impact of quality was rarely assessed. In the present study, the perceived quality of the experience was found to have a significant impact on improving attitudes. Programs such as the one evaluated here can, therefore, have two outcomes: the provision of service to elderly individuals and the change of negative attitudes toward elderly people.