Secondary Data Analysis in Health Research March 17 th (Happy St-Pats!) Éric Thériault.

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Secondary Data Analysis in Health Research March 17 th (Happy St- Pats!) Éric Thériault

Transcript of Secondary Data Analysis in Health Research March 17 th (Happy St-Pats!) Éric Thériault.

Page 1: Secondary Data Analysis in Health Research March 17 th (Happy St-Pats!) Éric Thériault.

Secondary Data Analysis in Health Research

March 17th (Happy St-Pats!)

Éric Thériault

Page 2: Secondary Data Analysis in Health Research March 17 th (Happy St-Pats!) Éric Thériault.

Outline

• Secondary Data

• Resident Assessment Instrument (RAI)

• Differences between Franophones and Anglophones

• Other Studies done with the RAI

• Sports and Aging

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Secondary Data

• What is Secondary Data?

• Secondary and Primary Data– Examples

• Pros and Cons

• Uses

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Resident Assessment Instrument (RAI)

• Resident Assessment Instruments (RAI) include 2 components: an assessment tool (MDS); and a screening protocol .

• The instruments were developed and are used in over 30 countries.

• There are 5 RAIs each based on an MDS instruments (interrai.org, 2010)

• The instruments can be combined into an integrated health assessment system (Morris et al., 1997)

• The RAI was originally constructed as a care planning tool, but has been proven to be effective for research (Stones et al., 2006)

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RAI• The MDS consists hundreds (over

230) of different items that measure various constructs (Stevenson et al., 2006)

• The data is collected by trained assessors, and has been shown to have high levels or reliability (inter-rater) (Morris et al., 1997)

• RAPs (CM&MS, 2002)

• Depression Rating Scale (Burrows, et al.,

2000) • Cognitive Performance Scale (Morris et al.,

1994) • Activities of Daily Living Scale (Morris et al.,

1999) • RAI-HC Canada

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RAI-HC and the Health of Minority Francophones in Ontario

Some Context

• The largest population of Francophones outside Québec resides in Ontario

• There are over 450,000 Francophones in Ontario

• 75,500 are over 65 (17% of the Francophone population)(Statistics Canada, 2008)

• Most studies are at a national level

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Some Context

• SES (Picard & Charland, 1999; Bouchard et al., 2006, Wagner et al., 2002; Statistics Canada, 2001)

• Health Services Use (Kobayashi, 2003; Bouchard et al., 2006; Picard & Allaire, 2005; Picard & Hébert, 1999)

• Physical Health (Picard & Hébert, 1999; Statistics Canada, 2005; 2007; Wharry, 1997; Kopec et al., 2005; 2007; Picard & Allaire, 2005; Statistics Canada, 2007)

• Medication Usage (Hogan, 1995; McKellar, 1999; Bouchard et al., 2005)

• Mental Health (Cairney & Krause, 2005; Streiner et al., 2006; Bouchard et al., 2006)

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Method of the Study (Thériault & Stones, 2009)

• RAI-HC data from the 2000 Health Informatics Project

• N = 5570• Females = 69.5%

Francophones Anglophones

N= 197 (3.5%) N= 4764 (85.5%)

Female= 152 (77.2%) Female= 3312 (69.5%)

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Results• SES - Significantly more trade-offs • Health Services – MLM significant interaction between the

language at the individual and Community level • Physical Health

– No differences regarding: lifestyle, oral health, disease diagnoses

– Differences in vision and perceived health– iADL and MAPLE

• Medication usage – Significantly more medication oversight for Francophones

• Mental Health – Psychotropic Medication and DRS• Cognition (CPS)• Communication (Expression and Comprehension)

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Disruptive Behaviours and Health (Brink, Stewart & Stones, 2004)

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More RAI Research• Disruptive behaviour and antipsychotic

medication use in long term care homes (Houlding, Bailey, Thériault et al., 2008)

• Disruptive Behaviours related to other issues (Stones, Stewart, & Kirkpatrick, 2003)

• Medication Usage (Armstrong, 2008)

• Pain and Cognition (Procter & Hirdes, 2004)

• Physical functioning changes in residents of LTC Facilities (Richardson, Bédard & Weaver, 2001)

• Incontinence and Mood in Long-Term Care (Stones et al., 2007)

• Cognition in Aboriginals (Maranzan & Stones, 2008)

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Sports and Aging(Stones, 2000)

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Questions? Comments? Compliments?