In the shift from inpatient to outpatient care that the province of Quebec is presently experiencing, the prompt assistance offered to older persons in then-domestic environment, is the kind of help that needs to be examined. The pilot project “Vie autonome chez soi” was intended to offer this type of service. The project took place in Montreal during 1990 and offered three services: a warden, a home security system and a telephone service (24–7). The objective of this evaluative study which uses a qualitative methodology is to discuss the implementation and functioning of the pilot project as well as to discover if some of the intended effects had been achieved through the services. Use of the alarm system had a positive impact on security for most of the participants who were still active in the project at the time of the evaluation. The warden services and the 24' security.

L'objectif principal de cette recherche était de déterminer si les embêtements de la vie quotidienne sont plus fortement reliés au bien-être physique et psychologique chez les personnes âgées que les événements majeurs. Les modèles de prédiction du bien-être physique et psychologique ont été déterminés en fonction de la contribution des embêtements et des événements majeurs ainsi que d'autres variables incluant l'évaluation subjective de la santé. Deux cents personnes âgées ont rapporté les événements majeurs des trois dernières années et les embêtements survenus au cours du dernier mois. Les sujets ont également évalué leur état de santé et le degré d'incapacité dans les activités quotidiennes conséquente à chacune de leurs maladies chroniques. Des analyses de régression multiple par étapes ont montré que (1) l'évaluation subjective de la santé, l'incapacité dans les activités quotidiennes et la fréquence des embêtements sont reliées au bien-être physique et que (2) le bien-être psychologique est associé à la fréquence des embêtements, l'âge et l'incapacité dans les activités de la vie quotidienne. La fréquence des événements majeurs récents ne contribue pas significativement à l'un ou l'autre des modèles. Des résultats similaires ont été obtenus selon que l'Échelle des Embêtements ou seulement les items de cette échelle qui ne correspondent pas à des symptômes étaient utilisés dans les analyses de régression. Les résultats suggèrent que la fréquence des embêtements est plus fortement reliée au bien-être chez les personnes âgées que la fréquence des événements majeurs.

To determine if the post-operative experience of elderly and younger patients is different, data were collected from 41 elderly patients (65 years and older) and 249 younger patients (under 65 years). Pain and anxiety were assessed on days two and three post-operative. Anxiety was also measured pre-operatively. Amount of analgesic ordered and given, and time of last analgesic prior to pain assessment were recorded. Significant differences were found in the number of analgesics given, with the elderly receiving fewer analgesics. There were no significant differences in pain intensity levels. In both age categories patients were given less analgesic on the third post-operative day, regardless of pain intensity. The two groups chose almost, identical pain descriptors. In both groups strong associations were observed between post-operative anxiety and pain, but pre-operative anxiety seemed unrelated to post-operative pain levels. It was concluded that health care professionals manage pain similarly for both younger and elderly patients, but the elderly require less analgesic for pain control.

The aim of the present study was to examine the effect of stressors and other factors on psychotropic drug consumption among the elderly, with an emphasis on individual rather than social factors. Respondents were recipients of a home care program that focusses on personal care rather than health-related care. Data were derived from two in-home interviews (one week apart) of 99 users of psychotropic drugs residing in a socially deprived suburb of a major Canadian city. The initial path-analytic model explained a significant amount (19%) of variance in the amount of drug use. Age, sex, attitudes towards psychotropic drug use, and life events were the predictors which remained in our trimmed model of drug use which explained 17 per cent of the variance. The results suggest that younger individuals reported greater drug use than older respondents. Positive attitudes towards psychotropics and being female were associated with the highest level of drug use. Path analysis did not support our hypothesis of a stress-related mental health model of drug use and, instead, raised important questions regarding social factors. Several explanations for the results are discussed. Suggestions for future study and clinical implications are offered.

The General Well-Being Schedule (GWB) is a questionnaire that is frequently used in large-scale epidemiological surveys to evaluate the psychological health of a given population. In spite of its popularity, it appears that no validation study has been done on a French version of the instrument. The present study proposes a French version of the GWB and establishes its psychometric qualities based on a sample of 369 subjects, 179 of whom are bilingual. The subjects were recruited through notices placed in the different francophone and anglophone media. The questionnaires were mailed to the subjects. First, the results show a very strong correlation between the translated version and the original version of the questionnaire (r = 0.88, p < 0.0001). The internal consistency of the French version is estimated at 0.92 and its test-retest reliability at 0.82 (95% CI: 0.71–0.89). Correlations between the total score on the general well-being scale and measures of depression and anxiety are over 0.70. Principal component analysis applied to the French and English versions of the questionnaire suggests the presence of a main factor which accounts for 50 per cent of the variance. This study provides a French version of the GWB that may justifiably be considered reliable and valid. Validation of the questionnaire should be pursued by establishing normative values for the elderly francophone population and by studying its responsiveness.