104 results on '"Chiatti, C."'
Search Results
2. The NEXT.ROOM: Design principles and systems trials of a novel test room aimed at deepening our knowledge on human comfort
- Author
-
Vittori, F., Chiatti, C., Pigliautile, I., and Pisello, A.L.
- Published
- 2022
- Full Text
- View/download PDF
3. Evaluating the potential of persistent luminescence in counteracting urban overheating
- Author
-
Chiatti, C, primary, Fabiani, C, additional, Bou-Zeid, E, additional, and Pisello, AL, additional
- Published
- 2024
- Full Text
- View/download PDF
4. Investigating the relationship between surface roughness and reflectance properties of building materials
- Author
-
Marchini, F, primary, Chiatti, C, additional, Fabiani, C, additional, Latterini, L, additional, and Pisello, AL, additional
- Published
- 2024
- Full Text
- View/download PDF
5. Effects of applying a standardized assessment and evaluation protocol in housing adaptation implementation – results from a quasi-experimental study
- Author
-
Malmgren Fänge, A., Carlsson, G., Axmon, A., Thordardottir, B., Chiatti, C., Nilsson, M. H., and Ekstam, L.
- Published
- 2019
- Full Text
- View/download PDF
6. Investigating the relationship between surface roughness and reflectance properties of building materials.
- Author
-
Marchini, F, Chiatti, C, Fabiani, C, Latterini, L, and Pisello, AL
- Published
- 2023
- Full Text
- View/download PDF
7. Evaluating the potential of persistent luminescence in counteracting urban overheating.
- Author
-
Chiatti, C, Fabiani, C, Bou-Zeid, E, and Pisello, AL
- Published
- 2023
- Full Text
- View/download PDF
8. Launching an Interdisciplinary 'International Summer School on Ageing' (ISSA): Aims, Methodology, and Outcomes
- Author
-
Barbabella, F., Chiatti, C., Di Rosa, M., Lamura, G., Martin-Matthews, A., Papa, R., and Svensson, T.
- Abstract
Despite the increasing availability of gerontological training programs, knowledge of their contents, characteristics, methods, and outcomes remains limited. However, the transition from multidisciplinarity to interdisciplinary orientations is now fundamental to such training, providing participants from diverse academic orientations and professional backgrounds with opportunities to interact across boundaries. In response to recommendations of the European Union Futurage "A road map for European ageing research" (FUTURAGE, 2011) concerning training and career-development needs of future cohorts of practitioners and scholars in aging, an International Summer School on Ageing (ISSA) was developed in 2012. Its aim was to initiate the practical implementation of some of the capacity building goals identified by Futurage. The design and structure of the ISSA was informed by the experience of Canada's Summer Programme in Ageing--run by the Institute of Aging of the Canadian Institutes of Health Research--and by the cross-border academic training activities organized by Lund University (Sweden) in Scandinavian countries. As Italy has lacked a tradition of comprehensive, interdisciplinary training programs in gerontology, the Italian National Institute of Health and Science on Ageing undertook to launch the inaugural ISSA. In this article, the core aims and methodology of the ISSA are presented, together with an analysis of its main outcomes, as measured by participant evaluations. These are discussed in the context of international debate on this topic.
- Published
- 2016
- Full Text
- View/download PDF
9. Experimentation of an Integrated System of Services and AAL Solutions for Alzheimer’s Disease Patients and Their Caregivers in Marche: The UP-TECH Project
- Author
-
Barbabella, F., Chiatti, C., Masera, F., Bonfranceschi, F., Rimland, J.M., Bartulewicz, K., Rossi, L., Lattanzio, F., Longhi, Sauro, editor, Siciliano, Pietro, editor, Germani, Michele, editor, and Monteriù, Andrea, editor
- Published
- 2014
- Full Text
- View/download PDF
10. Complementary and Alternative Medicine (CAM) among adults in Italy: Use and related satisfaction
- Author
-
Barbadoro, P., Chiatti, C., D’Errico, M.M., Minelli, A., Pennacchietti, L., Ponzio, E., and Prospero, E.
- Published
- 2011
- Full Text
- View/download PDF
11. Optimization of photoluminescent materials for lighting energy saving in the built environment
- Author
-
Chiatti, C, primary, Fabiani, C, additional, and Pisello, A L, additional
- Published
- 2021
- Full Text
- View/download PDF
12. IL PROGETTO BRIC INAIL 2019 - ID 14: RICERCA, ANALISI E CORRELAZIONI TRA DANNI EXTRA-UDITIVI ED ESPOSIZIONE AL RUMORE IN AMBITO SCOLASTICO
- Author
-
Cotana, F., Asdrubali, F., Prodi, N., Arcangeli, G., De Sio, S., Luzzi, S., Tortorella, A. A. V., Nataletti, P., Annesi, D., Sanjust, F., Goretti, M., Ricci, G., Nicolini, A., Chiatti, C., Domenighini, P., Guattari, C., Grazieschi, G., Visentin, C., Dugheri, S., Mucci, N., Traversini, V., Busa, L., Sciurpi, F., Buomprisco, G., Perri, R., Menculini, G., Pulella, P., Franco Cotana, Francesco Asdrubali, Nicola Prodi, Giulio Arcangeli, Simone De Sio, Sergio Luzzi, Alfonso Antonio Vincenzo Tortorella, Pietro Nataletti , Diego Annesi, Filippo Sanjust, Michele Goretti, Giampietro Ricci, Andrea Nicolini, Chiara Chiatti, Piergiovanni Domenighini, Claudia Guattari, Gianluca Grazieschi, Chiara Visentin, Stefano Dugheri, Nicola Mucci, Veronica Traversini, Lucia Busa, Fabio Sciurpi, Giuseppe Buomprisco, Roberto Perri, Giulia Menculini, Paola Pulella, Cotana, Franco, Asdrubali, Francesco, Prodi, Nicola, Arcangeli, Giulio, De Sio, Simone, Luzzi, Sergio, Antonio Vincenzo Tortorella, Alfonso, Nataletti, Pietro, Annesi, Diego, Sanjust, Filippo, Goretti, Michele, Ricci, Giampietro, Nicolini, Andrea, Chiatti, Chiara, Domenighini, Piergiovanni, Guattari, MARIA CLAUDIA, Grazieschi, Gianluca, Visentin, Chiara, Dugheri, Stefano, Mucci, Nicola, Traversini, Veronica, Busa, Lucia, Sciurpi, Fabio, Buomprisco, Giuseppe, Perri, Roberto, Menculini, Giulia, and Pulella, Paola
- Subjects
effetti extra-uditivi, rumore, scuole ,rumore ,scuole ,effetti extra-uditivi - Published
- 2021
13. IMAGINE study protocol of a clinical trial: A multi-center, investigator-blinded, randomized, 36-month, parallel-group to compare the effectiveness of motivational interview in rehabilitation of older stroke survivors
- Author
-
Gual N., Pérez L.M., Castellano-Tejedor C., Lusilla-Palacios P., Castro J., Soto-Bagaria L., Coll-Planas L., Roqué M., Vena A.B., Fontecha B., Santiago J.M., Lexell E.M., Chiatti C., Iwarsson S., and Inzitari M.
- Subjects
Stroke Rehabilitation ,clinical trial ,Motivational Interviewing ,Stroke ,aged ,multicenter study ,Treatment Outcome ,quality of life ,Spain ,survivor ,randomized controlled trial ,Humans ,controlled study ,epidemiology ,human ,Survivors ,cerebrovascular accident - Abstract
Background: Rehabilitation pathways are crucial to reduce stroke-related disability. Motivational Interviewing (MI), as a person-centered complex intervention, aimed to empower and motivate, and could be a resource to improve rehabilitation outcomes for older stroke survivors. The IMAGINE project aims to assess the impact of MI, as a complement to standard geriatric rehabilitation, on functional improvement at 30 days after admission, compared to standard geriatric rehabilitation alone, in persons admitted to geriatric rehabilitation after a stroke. Secondary objectives include assessing the impact of MI on physical activity and performance, self-efficacy, safety, cost-utility, participants' experiences and functional status at 3 months. Methods: We will conduct a multicenter randomized clinical trial in three geriatric rehabilitation hospitals in Spain. Older adults after mild-moderate stroke without previous severe cognitive impairment or disability will be randomized into the control or intervention group (136 per group, total N = 272). The intervention group will receive 4 sessions of MI by trained nurses, including the design of a personalized rehabilitation plan agreed between stroke survivors and nurses based on stroke survivors goals, needs, preferences and capabilities. Main outcome will be the Functional Independence Measure (FIM). In-hospital physical activity will be measured through accelerometers and secondary outcomes using validated scales. The study includes a process evaluation and cost-utility analysis. Discussion: Final results are expected by end of 2020. This study will provide relevant information on the implementation of MI as a rehabilitation reinforcement tool in older stroke survivors. A potential reduction in post-stroke disability and dependence would increase person's health-related quality of life and well-being and reduce health and social care costs. IMAGINE has the potential to inform practice and policymakers on how to move forward towards shared decision-making and shared responsibilities in the vulnerable population of older stroke survivors. Trial registration: ClinicalTrials.gov: NCT03434938, registered on January 2018. © 2020 The Author(s).
- Published
- 2020
14. Needs, acceptance, adherence, and use of innovative assistive technology - aspects of relational trust
- Author
-
Malmgren Fange, A., primary, Chiatti, C., additional, Carlsson, G., additional, and Lethin, C., additional
- Published
- 2020
- Full Text
- View/download PDF
15. Utilization of formal and informal care in dementia: a comparative study between Sweden and Italy
- Author
-
Lethin, C, primary, Scandali, VM, additional, Rodriguez, D, additional, Malmgren Fänge, A, additional, and Chiatti, C, additional
- Published
- 2018
- Full Text
- View/download PDF
16. Utilization of Formal and Informal Care by Community-Living People with Dementia: A Comparative Study between Sweden and Italy
- Author
-
Chiatti, C., Gatta, D. R., Fange, A. M., Scandali, V. M., Masera, F., Lethin, C., Members of the TECH@HOME Research Group are, Cherubini, A., and Et, Al.
- Subjects
Male ,Gerontology ,Social Work ,medicine.medical_specialty ,Time Factors ,dementia care ,Health, Toxicology and Mutagenesis ,lcsh:Medicine ,Sample (statistics) ,Social Welfare ,Severity of Illness Index ,Article ,03 medical and health sciences ,Sex Factors ,0302 clinical medicine ,cognitive disorder ,Health care ,80 and over ,medicine ,Humans ,Dementia ,Prospective Studies ,030212 general & internal medicine ,Economic impact analysis ,health services ,Aged ,Aged, 80 and over ,Sweden ,business.industry ,Public health ,lcsh:R ,Cognitive disorder ,Age Factors ,Public Health, Environmental and Occupational Health ,medicine.disease ,Country of origin ,informal care ,resource utilization ,Cross-Sectional Studies ,Caregivers ,Italy ,Socioeconomic Factors ,Linear Models ,Female ,formal care ,business ,Psychology ,030217 neurology & neurosurgery ,dementia - Abstract
Background: Dementia is a public health priority with a dramatic social and economic impact on people with dementia (PwD), their caregivers and societies. The aim of this study was to contribute to the knowledge on how utilization of formal and informal care varies between Sweden and Italy. Methods: Data were retrieved from two trials: TECH@HOME (Sweden) and UP-TECH (Italy). The sample consisted of 89 Swedish and 317 Italian dyads (PwD and caregivers). Using bivariate analysis, we compared demographic characteristics and informal resource utilization. Multiple linear regression was performed to analyze factors associated with time spent on care by the informal caregivers. Results: Swedish participants utilized more frequently health care and social services. Informal caregivers in Italy spent more time in caregiving than the Swedish ones (6.3 and 3.7 h per day, respectively). Factors associated with an increased time were country of origin, PwD level of dependency, living situation, use of formal care services and occupation. Conclusions: Care and service utilization significantly varies between Sweden and Italy. The level of formal care support received by the caregivers has a significant impact on time spent on informal care. Knowledge on the factors triggering formal care resources utilization by PwD and their caregivers might further support care services planning and delivery across different countries.
- Published
- 2018
17. IDO: modelling a serious educational game based on hands on approach for training dementia carers
- Author
-
Maskeliūnas, R, primary, Damaševičius, R, additional, Blažauskas, T, additional, Paulauska, A, additional, Paulauskas, L, additional, and Chiatti, C, additional
- Published
- 2018
- Full Text
- View/download PDF
18. TECHNOLOGY IN DEMENTIA HOME CARE: LEGAL, ETHICAL, AND POLICY ISSUES
- Author
-
Schmidt, S.M., primary, Malmgren-Fänge, A., additional, Nilsson, M.H., additional, Carlsson, G., additional, Dahlgren Bergström, C., additional, Olivetti, P., additional, Johansson, P., additional, and Chiatti, C., additional
- Published
- 2017
- Full Text
- View/download PDF
19. OVERVIEW OF THE MAIN CONTENTS AND OUTCOMES OF THE ISSA: EVALUATION AND FOLLOW-UP STRATEGIES
- Author
-
Barbabella, F., primary, Chiatti, C., additional, and Papa, R., additional
- Published
- 2017
- Full Text
- View/download PDF
20. BUILDING FUTURE COHORTS OF RESEARCHERS: RATIONALE AND AIMS OF AN INTERNATIONAL SUMMER SCHOOL ON AGEING
- Author
-
Lamura, G., primary, Martin-Matthews, A., additional, Chiatti, C., additional, and Svensson, T., additional
- Published
- 2017
- Full Text
- View/download PDF
21. The economic burden of inappropriate drug prescribing, lack of adherence and compliance, adverse drug events in older people: a systematic review
- Author
-
Chiatti, C, Bustacchini, S, Furneri, G, Mantovani, L, Cristiani, M, Misuraca, C, Lattanzio, F, Chiatti C, Bustacchini S, Furneri G, Mantovani L, Cristiani M, Misuraca C, Lattanzio f, Chiatti, C, Bustacchini, S, Furneri, G, Mantovani, L, Cristiani, M, Misuraca, C, Lattanzio, F, Chiatti C, Bustacchini S, Furneri G, Mantovani L, Cristiani M, Misuraca C, and Lattanzio f
- Abstract
Adverse drug events (ADEs) are an increasingly relevant issue for healthcare systems as they are associated with poorer health outcomes and avoidable misuse of resources. The rates of ADEs are higher in the elderly population, as many older patients have comorbidities, multiple drug prescriptions and deteriorated physical and cognitive functioning. The occurrence of ADEs can lead to a perceived lack of therapy efficacy and further underuse or suboptimal adherence in elderly people, with detrimental clinical outcomes. The present article systematically reviews the studies evaluating the economic impact of ADEs occurring as consequence of poor therapy adherence, inappropriate drug use, underuse of effective treatments and poor adherence, medication errors, drug-drug and drug-disease interactions. A Medline systematic literature review of studies evaluating the economic consequences of inappropriate drug prescribing, lack of adherence and compliance, ADEs in older people was performed. English-language articles were screened through a three-step approach (title review, abstract review, full article review) to select pertinent studies quantitatively evaluating costs. We systematically reviewed evidence from767 articles. After title, abstract and full text review, 21 articles were found to measure economic implications ofADEs, inappropriate drug prescribing and poor adherence in elderly patients. Studies suggested that the economic impact of these undesired effects is substantial: hospital costs were the main cost driver, with a relevant part of them being preventable (consequences of inappropriate prescribing). Healthcare costs for unused drug wastage and destruction were also surprisingly high. Although economic evidence in elderly patients is still limited, all studies seemed to confirm that the financial burden due to pharmacological treatment issues is relevant in elderly people. Including economic effects of adverse events in pharmacoeconomic analysis would be bene
- Published
- 2012
22. The economic impact of moderate stage Alzheimer's disease in Italy: Evidence from the UP-TECH randomized trial
- Author
-
Chiatti, C., Furneri, G., Rimland, J. M., Demma, F., Bonfranceschi, F., Cassetta, L., Masera, F. b, Cherubini, Corsonello, A., Lattanzio, F., Baldassarri, D., Bitti, L., Carosi, A., Sabbatini, M., Paolasini, E., Fiori, T., Fronzi, C., Giacchetta, S., Giacomini, V., Giovagnoli, L., Lattanzi, G., Manca, A. M., Marinelli, I., Pigini, V., Pignotti, M., Proietti, M. C., Quarticelli, A., Rovedi, M., Tasso, L., Valeri, V., Antonioli, A., Barabucci, M., Bassani, M., Bollettini, P., Bruttapasta, M. C., Buccolini, C., Carangella, R., Carboni, F., Ceccolini, D., D'Incecco, P., Di Felice, M., Dini, L., Gioia, G., Di Prima, G., Giusepponi, G., Lanciotti, C., Loffreda, A., Luciani, O., Mariani, L., Mastrorilli, F., Moroni, R., Piatkowska, I., Rucoli, R., Scoccia, G., Teodori, N., Tonelli, T., Angeloni, R., Bratti, R. A., Bonafede, G., Lorenzetti, S., Paci, C., Picciotti, G., Pezzola, D., Rea, V., Scialè, V., Signorino, M., Sorvillo, F., Tomassini, P. F., Ciccola, A., Cionfrini, L., Alessandrini, D., De Santis, A., Formica, B., Tacchi, G., Tortorelli, S., Marchegiani, G., Pozzari, G., Santarelli, G., Bartolucci, D., Caraffa, G., Cavallo, Filippo, Di Furia, L., Lacetera, A., Maffei, C. M., Manzoli, L., Postacchini, D., Bevilacqua, R., Bonfigli, A. R., Bustacchini, S., Capasso, M., Civerchia, P., Di Rosa, M., Giuli, C., Marcellini, M., Marinelli, P., Melchiorre, G., Moraca, M. E., Principi, A., Rocchetti, C., Spazzafumo, L., Vincitorio, D., Bartulewicz, K., Olivetti, P., and Rossi, L.
- Subjects
Gerontology ,Male ,very elderly ,cost of illness ,Public expenditure ,morbidity ,residential care ,community care ,Italian (citizen) ,cost analysis ,Surveys and Questionnaires ,Health care ,Activities of Daily Living ,80 and over ,Medicine ,organization and management ,caregiver ,media_common ,Aged, 80 and over ,Public sector ,Mini Mental State Examination ,aged ,Alzheimer disease ,Article ,controlled study ,daily life activity ,disease severity ,economic aspect ,female ,health care ,health care cost ,human ,Italy ,major clinical study ,mortality ,physical performance ,prescription ,prevalence ,randomized controlled trial ,scoring system ,social care ,socioeconomics ,welfare ,economics ,male ,quality of life ,questionnaire ,statistical model, Activities of Daily Living ,Aged ,Alzheimer Disease ,Caregivers ,Cost of Illness ,Female ,Health Expenditures ,Humans ,Linear Models ,Quality of Life ,Alzheimer's disease ,community-living ,RCT ,UP-TECH ,Psychiatry and Mental health ,Clinical Psychology ,Alzheimer’s disease ,media_common.quotation_subject ,Quality of life (healthcare) ,Dementia ,Medical prescription ,Socioeconomic status ,business.industry ,statistical model ,medicine.disease ,Geriatrics and Gerontology ,business ,Welfare - Abstract
Background:There is consensus that dementia is the most burdensome disease for modern societies. Few cost-of-illness studies examined the complexity of Alzheimer's disease (AD) burden, considering at the same time health and social care, cash allowances, informal care, and out-of-pocket expenditure by families.Methods:This is a comprehensive cost-of-illness study based on the baseline data from a randomized controlled trial (UP-TECH) enrolling 438 patients with moderate AD and their primary caregiver living in the community.Results:The societal burden of AD, composed of public, patient, and informal care costs, was about €20,000/yr. Out of this, the cost borne by the public sector was €4,534/yr. The main driver of public cost was the national cash-for-care allowance (€2,324/yr), followed by drug prescriptions (€1,402/yr). Out-of-pocket expenditure predominantly concerned the cost of private care workers. The value of informal care peaked at €13,590/yr. Socioeconomic factors do not influence AD public cost, but do affect the level of out-of-pocket expenditure.Conclusion:The burden of AD reflects the structure of Italian welfare. The families predominantly manage AD patients. The public expenditure is mostly for drugs and cash-for-care benefits. From a State perspective in the short term, the advantage of these care arrangements is clear, compared to the cost of residential care. However, if caregivers are not adequately supported, savings may be soon offset by higher risk of caregiver morbidity and mortality produced by high burden and stress. The study has been registered on the website www.clinicaltrials.org (Trial Registration number: NCT01700556).
- Published
- 2015
23. The economic burden of chronic obstructive pulmonary disease in the elderly: Results from a systematic review of the literature
- Author
-
Bustacchini, S, Chiatti, C, Furneri, G, Lattanzio, F, Mantovani, L, Bustacchini S, Chiatti C, Furneri G, Lattanzio F, Mantovani LG, Bustacchini, S, Chiatti, C, Furneri, G, Lattanzio, F, Mantovani, L, Bustacchini S, Chiatti C, Furneri G, Lattanzio F, and Mantovani LG
- Abstract
Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies evaluating costs and healthcare resource utilization in elderly (≥65 years) COPD patients. Recent findings: Sixteen of the initial 359 articles retrieved through our research strategy were found to include relevant cost information on elderly COPD patients or to evaluate the effect of older age on healthcare expenditure. Most studies were carried out in the United States and used administrative database claims to determine resource consumption and direct costs (attributable and not). Very few studies focused exclusively on elderly patients. Summary: Results showed a certain variability of cost estimations, mainly due to the different methodologies and adopted cost approach. However, we found a trend of direct cost growth in the elderly population, which can be explained by a more frequent use of acute healthcare services, especially for managing COPD exacerbations. These results cannot be considered definitive and new studies, targeting elderly people, are required in order to confirm these preliminary findings. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
- Published
- 2011
24. Older volunteers in Italy
- Author
-
Andrea Principi, Chiatti, C., and Lamura, G.
- Published
- 2014
25. Socioeconomic Predictors of the Employment of Migrant Care Workers by Italian Families Assisting Older Alzheimer's Disease Patients: Evidence From the Up-Tech Study
- Author
-
Barbabella, F., Chiatti, C., Rimland, J. M., Melchiorre, M. G., Lamura, G., Lattanzio, F., Baldassarri, D., Bitti, L., Carosi, A., Sabbatini, M., Paolasini, E., Fiori, T., Fronzi, C., Giacchetta, S., Giacomini, V., Giovagnoli, L., Lattanzi, G., Manca, A. M., Pigini, V., Pignotti, M., Proietti, M. C., Quarticelli, A., Rovedi, M., Tasso, L., Valeri, V., Antonioli, A., Barabucci, M., Bassani, M., Bollettini, P., Bruttapasta, M. C., Buccolini, C., Carangella, R., Carboni, F., Ceccolini, D., D'Incecco, P., Di Felice, M., Dini, L., Gioia, G., Di Prima, G., Giusepponi, G., Lanciotti, C., Loffreda, A., Luciani, O., Mariani, L., Mastrorilli, F., Moroni, R., Piatkowska, I., Rucoli, R., Scoccia, G., Teodori, N., Tonelli, T., Angeloni, R., Bratti, R. A., Bonafede, G., Lorenzetti, S., Paci, C., Picciotti, G., Pezzola, D., Rea, V., Scialè, V., Signorino, M., Sorvillo, F., Tomassini, P. F., Ciccola, A., Cionfrini, L., Alessandrini, D., De Santis, A., Formica, B., Tacchi, G., Tortorelli, S., Regional, M., Marchegiani, G., Pozzari, G., Santarelli, G., Bartolucci, D., Caraffa, G., Cavallo, Filippo, Di Furia, L., Lacetera, A., Maffei, C. M., Manzoli, L., Postacchini, D., Bonfigli, A. R., Bonfranceschi, F., Bustacchini, S., Capasso, M., Cassetta, L., Civerchia, P., Demma, F., Di Rosa, M., Furneri, G., Giuli, C., Marcellini, M., Marinelli, P., Melchiorre, G., Moraca, M. E., Principi, A., Rocchetti, C., Spazzafumo, L., Vincitorio, D., Bartulewicz, K., Olivetti, P., and Rossi, L.
- Subjects
Gerontology ,Migrant care worker ,Male ,Financing, Government ,very elderly ,aged ,Alzheimer disease ,caregiver ,economics ,educational status ,employment ,female ,financial management ,home care ,human ,Italy ,long term care ,male ,middle aged ,migration ,socioeconomics ,standards ,statistics and numerical data ,supply and distribution ,very elderly, Aged ,Aged, 80 and over ,Alzheimer Disease ,Caregivers ,Educational Status ,Employment ,Female ,Financing, Personal ,Home Care Services ,Humans ,Long-Term Care ,Middle Aged ,Socioeconomic Factors ,Transients and Migrants ,Alzheimer's disease ,Care allowance ,Family caregiver ,Socioeconomic factors ,Up-Tech ,Disease ,0302 clinical medicine ,050602 political science & public administration ,80 and over ,030212 general & internal medicine ,Family caregivers ,05 social sciences ,0506 political science ,Clinical Psychology ,Government ,population characteristics ,Financing ,geographic locations ,Social Psychology ,Social class ,Financial management ,03 medical and health sciences ,medicine ,Personal ,Socioeconomic status ,Aged ,business.industry ,medicine.disease ,Long-term care ,Care workers ,Geriatrics and Gerontology ,business - Abstract
The availability of family caregivers of older people is decreasing in Italy as the number of migrant care workers (MCWs) hired by families increases. There is little evidence on the influence of socioeconomic factors in the employment of MCWs.We analyzed baseline data from 438 older people with moderate Alzheimer's disease (AD), and their family caregivers enrolled in the Up-Tech trial. We used bivariate analysis and multilevel regressions to investigate the association between independent variables-education, social class, and the availability of a care allowance-and three outcomes-employment of a MCW, hours of care provided by the primary family caregiver, and by the family network (primary and other family caregivers).The availability of a care allowance and the educational level were independently associated with employing MCWs. A significant interaction between education and care allowance was found, suggesting that more educated families are more likely to spend the care allowance to hire a MCW.Socioeconomic inequalities negatively influenced access both to private care and to care allowance, leading disadvantaged families to directly provide more assistance to AD patients. Care allowance entitlement needs to be reformed in Italy and in countries with similar long-term care and migration systems.
- Published
- 2014
26. Launching an interdisciplinary “International Summer School on Ageing” (ISSA): Aims, methodology, and outcomes
- Author
-
Barbabella, F., primary, Chiatti, C., additional, Di Rosa, M., additional, Lamura, G., additional, Martin-Matthews, A., additional, Papa, R., additional, and Svensson, T., additional
- Published
- 2015
- Full Text
- View/download PDF
27. Cigarette smoking in young-adult workers: a cross-sectional analysis from Abruzzo, Italy
- Author
-
Chiatti, C., Piat, S. C., Federico, B., Capelli, G., Di Stanislao, F., PAMELA DI GIOVANNI, Schioppa, F., and Manzoli, L.
- Subjects
Italy ,lcsh:Public aspects of medicine ,lcsh:R ,occupational groups ,Cigarette smoking ,young-adult workers ,DOAJ:Public Health ,lcsh:Medicine ,cigarette smoking ,Socio-culturale ,lcsh:RA1-1270 ,DOAJ:Health Sciences - Abstract
Background: The “Valentino” cross-sectional study is aimed at evaluating the prevalence and pattern of cigarette smoking according to occupational group in a representative sample of workers aged 18-35 years from Abruzzo, Italy. Methods: Randomly selected workers anonymously self-compiled a structured questionnaire containing validated items. Job type was coded according to the International Standard Classification of Occupations.Results: The sample consisted of 3989 workers. Current smoking prevalence was 45.9%, varying across occupational groups and ranged from 37.2% among clerical support workers, up to 57.1% among craft, agricultural and fishery sector workers. After controlling for several potential confounders using logistic regression, craft, agricultural, forestry and fishery workers (adjusted odds ratio 1.65; 95%confidence intervals 1.21-2.27), and call-center operators (1.91; 1.44-2.53) were significantly more likely to be current smokers than professionals and clerical or support workers. Interestingly, when alcohol and cannabis use were included in multivariate analysis, the association between smoking and gender was no longer significant.Conclusions: An independent association was found between specific occupational classes and tobacco smoking, suggesting occupation type should be considered in prioritizing subsets of populations towards which smoking cessation campaigns should be targeted first.
- Published
- 2012
28. Valutazione dell’appropriatezza organizzativa degli ospedali pubblici abruzzesi tramite PRUO, Disease Staging, e mediante il calcolo dei DRG ad alto rischio di inappropriatezza secondo i 'nuovi' e 'vecchi' LEA: risultati e grado di concordanza tra le diverse metodiche
- Author
-
Manzoli, Lamberto, Di Candia, V, Mucciconi, A, Di Corcia, T, Ceccagnoli, Ma, Chiatti, C, Cau, E, Capasso, L, Di Virgilio, M, Angeli, G, Di Giovanni, P, Panella, M, Di Stanislao, F, and Schioppa, F.
- Subjects
hospital admission ,AEP, Appropriateness, hospital admission ,AEP ,Socio-culturale ,Appropriateness - Published
- 2010
29. Il Maltrattamento delle Persone Anziane in Italia. Alcuni Resultati dallo Studio Abuel
- Author
-
Melchiorre, MG, Di Rosa, M, Chiatti, C, Lamura, G, Quattrini, S, Greco, C, Soares, Joaquim, Melchiorre, MG, Di Rosa, M, Chiatti, C, Lamura, G, Quattrini, S, Greco, C, and Soares, Joaquim
- Abstract
ABUEL
- Published
- 2012
30. Launching an interdisciplinary “International Summer School on Ageing” (ISSA): Aims, methodology, and outcomes.
- Author
-
Barbabella, F., Chiatti, C., Di Rosa, M., Lamura, G., Martin-Matthews, A., Papa, R., and Svensson, T.
- Subjects
- *
ELDER care , *CURRICULUM planning , *INTERDISCIPLINARY education , *MENTORING , *RESEARCH funding , *STUDENT attitudes , *COURSE evaluation (Education) , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Despite the increasing availability of gerontological training programs, knowledge of their contents, characteristics, methods, and outcomes remains limited. However, the transition from multidisciplinarity to interdisciplinary orientations is now fundamental to such training, providing participants from diverse academic orientations and professional backgrounds with opportunities to interact across boundaries. In response to recommendations of the European Union FuturageA road map for European ageing research(FUTURAGE, 2011) concerning training and career-development needs of future cohorts of practitioners and scholars in aging, an International Summer School on Ageing (ISSA) was developed in 2012. Its aim was to initiate the practical implementation of some of the capacity building goals identified by Futurage. The design and structure of the ISSA was informed by the experience of Canada’s Summer Programme in Ageing—run by the Institute of Aging of the Canadian Institutes of Health Research—and by the cross-border academic training activities organized by Lund University (Sweden) in Scandinavian countries. As Italy has lacked a tradition of comprehensive, interdisciplinary training programs in gerontology, the Italian National Institute of Health and Science on Ageing undertook to launch the inaugural ISSA. In this article, the core aims and methodology of the ISSA are presented, together with an analysis of its main outcomes, as measured by participant evaluations. These are discussed in the context of international debate on this topic. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
31. FUTURAGE: Creating a road map for ageing research
- Author
-
Parker, S., primary, Jagger, C., additional, Lamura, G., additional, Chiatti, C., additional, Wahl, H., additional, Iwarsson, S., additional, Svensson, T., additional, and Walker, A., additional
- Published
- 2012
- Full Text
- View/download PDF
32. A theoretical framework for assessing the impact of ICT-based interventions for carers
- Author
-
Barbabella, F., primary, Schmidt, A., additional, Chiatti, C., additional, and Lamura, G., additional
- Published
- 2012
- Full Text
- View/download PDF
33. Socioeconomic determinants of influenza vaccination among older adults in Italy
- Author
-
Chiatti, C., primary, Di Rosa, M., additional, Barbadoro, P., additional, Lamura, G., additional, Di Stanislao, F., additional, and Prospero, E., additional
- Published
- 2010
- Full Text
- View/download PDF
34. The UP-TECH project, an intervention to support caregivers of Alzheimer’s disease patients in Italy: study protocol for a randomized controlled trial
- Author
-
Chiatti, C, Masera, F, Rimland, Jm, Cherubini, Antonio, Scarpino, O, Spazzafumo, L, Lattanzio, F, and UP TECH research group
- Subjects
Quality of life ,Technology ,Social Work ,medicine.medical_specialty ,Time Factors ,Activities of daily living ,Cost-Benefit Analysis ,Transducers ,Psychological intervention ,Medicine (miscellaneous) ,Caregiver burden ,law.invention ,Study Protocol ,Quality of life (healthcare) ,Clinical Protocols ,Cost of Illness ,Nursing ,Randomized controlled trial ,Alzheimer Disease ,law ,Surveys and Questionnaires ,Activities of Daily Living ,Adaptation, Psychological ,Health care ,medicine ,Humans ,Pharmacology (medical) ,Lighting ,Delivery of Health Care, Integrated ,Family caregivers ,business.industry ,Integrated care ,Equipment Design ,Health Care Costs ,Home Care Services ,House Calls ,Treatment Outcome ,Italy ,Caregivers ,Research Design ,Family medicine ,Housing ,business ,Alzheimer’s disease ,Case Management ,RCT - Abstract
Background The epidemic of Alzheimer's disease (AD) represents a significant challenge for the health care and social service systems of many developed countries. AD affects both patients and family caregivers, on whom the main burden of care falls, putting them at higher risk of stress, anxiety, mortality and lower quality of life. Evidence remains controversial concerning the effectiveness of providing support to caregivers of AD patients, through case management, counseling, training, technological devices and the integration of existing care services. The main objectives of the UP-TECH project are: 1) to reduce the care burden of family caregivers of AD patients; and 2) to maintain AD patients at home. Methods/design A total of 450 dyads comprising AD patients and their caregivers in five health districts of the Marche region, Italy, will be randomized into three study arms. Participants in the first study arm will receive comprehensive care and support from a case manager (an ad hoc trained social worker) (UP group). Subjects in the second study arm will be similarly supported by a case manager, but in addition will receive a technological toolkit (UP-TECH group). Participants in the control arm will only receive brochures regarding available services. All subjects will be visited at home by a trained nurse who will assess them using a standardized questionnaire at enrollment (M0), 6 months (M6) and 12 months (M12). Follow-up telephone interviews are scheduled at 24 months (M24). The primary outcomes are: 1) caregiver burden, measured using the Caregiver Burden Inventory (CBI); and 2) the actual number of days spent at home during the study period, defined as the number of days free from institutionalizations, hospitalizations and stays in an observation unit of an emergency room. Discussion The UP-TECH project protocol integrates previous evidence on the effectiveness of strategies in dementia care, that is, the use of case management, new technologies, nurse home visits and efforts toward the integration of existing services in an ambitious holistic design. The analysis of different interventions is expected to provide sound evidence of the effectiveness and cost of programs supporting AD patients in the community. Trial registration ClinicalTrials.gov: http://NCT01700556
- Full Text
- View/download PDF
35. The economic burden of inappropriate drug prescribing, lack of adherence and compliance, adverse drug events in older people: a systematic review
- Author
-
Lorenzo G. Mantovani, Marco Cristiani, Gianluca Furneri, Clementina Misuraca, Fabrizia Lattanzio, Carlos Chiatti, Silvia Bustacchini, Chiatti, C, Bustacchini, S, Furneri, G, Mantovani, L, Cristiani, M, Misuraca, C, Lattanzio, F, Mantovani, LORENZO GIOVANNI, and Lattanzio, F.
- Subjects
Pharmacology ,medicine.medical_specialty ,inappropriateness ,Drug-Related Side Effects and Adverse Reactions ,business.industry ,MEDLINE ,Poison control ,Inappropriate Prescribing ,Toxicology ,medicine.disease ,Occupational safety and health ,Medication Adherence ,Systematic review ,Cost of Illness ,Injury prevention ,Health care ,medicine ,Humans ,Pharmacology (medical) ,Medical emergency ,Medical prescription ,business ,Adverse effect ,Intensive care medicine ,Aged - Abstract
Adverse drug events (ADEs) are an increasingly relevant issue for healthcare systems as they are associated with poorer health outcomes and avoidable misuse of resources. The rates of ADEs are higher in the elderly population, as many older patients have comorbidities, multiple drug prescriptions and deteriorated physical and cognitive functioning. The occurrence of ADEs can lead to a perceived lack of therapy efficacy and further underuse or suboptimal adherence in elderly people, with detrimental clinical outcomes. The present article systematically reviews the studies evaluating the economic impact of ADEs occurring as consequence of poor therapy adherence, inappropriate drug use, underuse of effective treatments and poor adherence, medication errors, drug-drug and drug-disease interactions. A Medline systematic literature review of studies evaluating the economic consequences of inappropriate drug prescribing, lack of adherence and compliance, ADEs in older people was performed. English-language articles were screened through a three-step approach (title review, abstract review, full article review) to select pertinent studies quantitatively evaluating costs. We systematically reviewed evidence from767 articles. After title, abstract and full text review, 21 articles were found to measure economic implications ofADEs, inappropriate drug prescribing and poor adherence in elderly patients. Studies suggested that the economic impact of these undesired effects is substantial: hospital costs were the main cost driver, with a relevant part of them being preventable (consequences of inappropriate prescribing). Healthcare costs for unused drug wastage and destruction were also surprisingly high. Although economic evidence in elderly patients is still limited, all studies seemed to confirm that the financial burden due to pharmacological treatment issues is relevant in elderly people. Including economic effects of adverse events in pharmacoeconomic analysis would be beneficial to improve the reliability of results. Preliminary evidence suggests that programmes aimed at comprehensively assessing geriatric conditions, detecting 'high-risk' prescriptions and training patients to comply with prescribed therapies could be costeffective measures to reduce the burden of ADE. Adis © 2012 Springer International Publishing AG. All rights reserved.
- Published
- 2012
36. The economic burden of chronic obstructive pulmonary disease in the elderly: Results from a systematic review of the literature
- Author
-
Fabrizia Lattanzio, Silvia Bustacchini, Gianluca Furneri, Lorenzo G. Mantovani, Carlos Chiatti, Bustacchini, S, Chiatti, C, Furneri, G, Lattanzio, F, Mantovani, L, S., Bustacchini, C., Chiatti, G., Furneri, F., Lattanzio, and Mantovani, LORENZO GIOVANNI
- Subjects
Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Cost-Benefit Analysis ,Psychological intervention ,MEDLINE ,Comorbidity ,elderly ,chronic obstructive pulmonary disease ,Pulmonary Disease, Chronic Obstructive ,Indirect costs ,Cost of Illness ,direct cost ,exacerbations ,Health care ,Prevalence ,Humans ,Medicine ,Intensive care medicine ,Aged ,COPD ,Cost–benefit analysis ,business.industry ,Health Care Costs ,medicine.disease ,United States ,humanities ,Hospitalization ,Relevant cost ,Physical therapy ,Female ,business - Abstract
Purpose of review: Chronic obstructive pulmonary disease (COPD) is a high prevalence condition with a significant clinical and economic burden. In elderly people, COPD is often associated with other chronic comorbidities (i.e. cardiovascular diseases), determining clinical complications and requiring frequent acute healthcare interventions. The aim of this article is to review the economic studies evaluating costs and healthcare resource utilization in elderly (≥65 years) COPD patients. Recent findings: Sixteen of the initial 359 articles retrieved through our research strategy were found to include relevant cost information on elderly COPD patients or to evaluate the effect of older age on healthcare expenditure. Most studies were carried out in the United States and used administrative database claims to determine resource consumption and direct costs (attributable and not). Very few studies focused exclusively on elderly patients. Summary: Results showed a certain variability of cost estimations, mainly due to the different methodologies and adopted cost approach. However, we found a trend of direct cost growth in the elderly population, which can be explained by a more frequent use of acute healthcare services, especially for managing COPD exacerbations. These results cannot be considered definitive and new studies, targeting elderly people, are required in order to confirm these preliminary findings. © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
- Published
- 2011
37. The Relationship Between Physical Housing Characteristics, Housing Accessibility and Different Aspects of Health Among Community-Dwelling Older People: A Systematic Review.
- Author
-
Heller C, Haak M, Schmidt SM, Chiatti C, Ekstam L, Nilsson MH, and Slaug B
- Subjects
- Humans, Aged, Environment, Housing, Independent Living
- Abstract
Objectives: To synthesize the evidence on the relationships between physical housing characteristics or housing accessibility and different aspects of health among community-dwelling people 60 years and older. Methods: A systematic review of recent evidence with a narrative synthesis was conducted. Results: We included 15 studies and found three themes covering physical housing characteristics or housing accessibility that are associated with aspects of health among community-dwelling older adults: (1) interventions by home modifications targeting housing features both at entrances and indoors; (2) non-interventions targeting indoor features; (3) non-interventions targeting entrance features, that is, the presence of an elevator or stairs at the entrance. The overall quality of evidence across studies was assessed as very low. Discussion: The findings highlight the need for studies with a stronger research design and higher methodological quality that address the physical housing environment in relation to health among older adults to strengthen the body of evidence., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
- Full Text
- View/download PDF
38. Randomized trial to assess the efficacy and safety of xyloglucan for the treatment of acute gastroenteritis in children.
- Author
-
Perez-Garcia MJ, Royuela A, Rodriguez-Contreras FJ, PandoBravo MA, Chiatti C, Ramos C, Arana-Zumaquero M, Gonzalez-Marcos MI, Diaz J, Fresno-Calle MC, García-Bartolomé R, Viver S, Villaverde-Gonzalez S, Cilleruelo-Pascual ML, Gutierrez-Junquera C, Rasines-Rodriguez A, Manso-Pérez A, and Román-Riechmann E
- Abstract
Acute gastroenteritis is one of the most common diseases in children and an important cause of morbidity and mortality worldwide. No specific treatment is available; therefore, management is exclusively symptomatic. Xyloglucan has been approved in Europe as a class IIa medical device for restoration of the physiological functions of the intestinal wall. Our objective was to assess efficacy and safety of xyloglucan for the treatment of acute gastroenteritis in children. We performed a triple-blind, randomized placebo-controlled clinical trial in four primary care centers and one continued care hospital center. The study population comprised children with acute gastroenteritis aged >3 months and <5 years. Our primary endpoint was time (in hours) of resolution of diarrhea, defined as the time to resolution of stool consistency (Bristol Stool Form Scale ≤5 or Amsterdam Stool Form Scale B or C) or time until deposition frequency resumes to normality, whichever occurred first. We also recorded intravenous rehydration, hospitalization, stools per day, Vesikari scale, vomiting, relapse, weight loss, drugs prescribed, and adverse events. Eighty children were included in the intention-to-treat population (43 xyloglucan and 37 placebo) and 74 (93%) in the per-protocol population. Time to resolution of diarrhea was similar in both groups with (median, 95% CI) 24, 17-24 h in the xyloglucan group versus 24, 19-24 h in the placebo group, p = .680. Significant differences were observed for patients with moderate-to-severe diarrhea (Vesikari scale ≥9): xyloglucan group (20 [15-24] h) versus placebo group (85 [51-120] h) ( p = .04). No other significant differences were found. Xyloglucan can be considered safe and other studies should be performed to confirm the usefulness in patients with moderate-to-severe diarrhea., Competing Interests: All authors have completed the ICMJE uniform disclosure form. The authors have no conflicts of interest to declare. The authors have completed the CONSORT reporting checklist., (© 2023 The Authors. Food Science & Nutrition published by Wiley Periodicals LLC.)
- Published
- 2023
- Full Text
- View/download PDF
39. Management of disposable surgical masks for tackling pandemic-generated pollution: Thermo-acoustic investigations and life cycle assessment of novel recycled building panels.
- Author
-
Fabiani C, Cavagnoli S, Chiatti C, and Pisello AL
- Abstract
The COVID-19 pandemic has changed people's habits, causing them to use large amounts of disposable items and exacerbating the already existing issue of pollution. One way to reduce the environmental impact of this shift in daily habits is to recycle these items, e.g. surgical masks that are the most common personal protective equipment against the virus, to produce panels for building applications. In this work, both the thermal and acoustical performance of such panels are evaluated using a small and a large scale investigation under real-world conditions. Small scale thermal tests are performed by means of the Hot Disk instrument while the acoustic investigations are performed by means of the impedance tube. Large scale tests are carried out in a reverberation chamber assessing both the heat flow passing through the wall and the acoustic absorption coefficient of the panels. Finally, the environmental impact of the innovative recycled panel is also investigated in a life cycle perspective. Overall, the material behavior scored well on these tests, suggesting that the proposed approach may be a good recycling method., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2022 Elsevier B.V. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
40. Enabling Long-term Predictions and Cost-benefit Analysis Related to Housing Adaptation Needs for a Population Aging in Place: Protocol for a Simulation Study.
- Author
-
Schmidt SM, Chiatti C, Ekstam L, Haak M, Heller C, Nilsson MH, and Slaug B
- Abstract
Background: Policies that promote aging in place are common in Sweden and many other countries. However, the current housing stock cannot sufficiently accommodate a population aging in place considering how functional capacity and housing needs change as people age. To be suitable for all regardless of their functional ability, housing should be designed or adapted to facilitate the performance of activities of daily living. Long-term planning and plausible projections of development 20 to 30 years into the future are needed., Objective: The overall aim is to develop simulation models that enable long-term predictions and analysis of potential consequences in terms of societal gains and costs for different large-scale measures and interventions in the ordinary housing stock., Methods: This study is designed as a simulation study and will broadly apply health impact assessment methods in collaboration with five municipalities in Sweden. Individual interviews and research circles were used to identify current and prioritize potential new policies to improve the accessibility of the housing stock. We will run a series of simulations based on an estimated willingness to pay from discussions with the municipalities. Two to three different prioritized policies will be compared simultaneously using Markov cohort analysis to estimate the potential costs and health impact on the population. Using data from a systematic review and existing population-based data sets with individual-level data on home and health variables, we will calculate parameter estimates for the relations between housing accessibility and health outcomes. The potential impact of selected policy interventions will be estimated in several microsimulations representing people living in the community. Sensitivity analyses will be conducted for each simulation., Results: As of April 2022, open access data was collected, and a systematic review was underway and expected to be completed by November 2022. Collaboration with five municipalities was established in autumn 2020. In spring 2021, the municipalities developed a list of prioritized policy interventions to be tested and used in the simulation models. Inventories of barrier frequencies in ordinary housing started in spring 2022 and are expected to be completed in autumn 2022. Data gathering and analyses for simulation inputs will be completed during 2022 followed by the simulation modeling analyses to be completed in 2023., Conclusions: Improved accessibility of the ordinary housing stock has the potential to maintain or improve the health of the aging population. This study will generate tools that enable long-term predictions and reliable cost-benefit estimates related to the housing adaptation needs for a population aging in place, thus providing support for the best-informed policy decisions., International Registered Report Identifier (irrid): DERR1-10.2196/39032., (©Steven M Schmidt, Carlos Chiatti, Lisa Ekstam, Maria Haak, Christina Heller, Maria H Nilsson, Björn Slaug. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 12.08.2022.)
- Published
- 2022
- Full Text
- View/download PDF
41. Care Home and Home Care Staff's Learning during the COVID-19 Pandemic and Beliefs about Subsequent Changes in the Future: A Survey Study in Sweden, Italy, Germany and the United Kingdom.
- Author
-
Malmgren Fänge A, Christensen J, Backhouse T, Kenkmann A, Killett A, Fisher O, Chiatti C, and Lethin C
- Abstract
The aim of this study was to compare perceptions of learning from the COVID-19 pandemic and beliefs in subsequent changes for the future, among care home and home care staff, in four European countries. A 29-item on-line questionnaire was designed in English and later translated into Swedish, Italian, and German on the impact of the pandemic on stress and anxiety. Anonymous data from care staff respondents was collected in four countries between 7 October 2020 and 17 December 2010: Sweden ( n = 212), Italy ( n = 103), Germany ( n = 120), and the United Kingdom ( n = 167). While care staff in all countries reported learning in multiple areas of care practice, Italy reported the highest levels of learning and the most agreement that changes will occur in the future due to the pandemic. Conversely, care staff in Germany reported low levels of learning and reported the least agreement for change in the future. While the pandemic has strained care home and home care staff practices, our study indicates that much learning of new skills and knowledge has taken place within the workforce. Our study has demonstrated the potential of cross-border collaborations and experiences for enhancing knowledge acquisition in relation to societal challenges and needs. The results could be built upon to improve future health care and care service practices.
- Published
- 2022
- Full Text
- View/download PDF
42. One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles.
- Author
-
Malmgren Fänge A, Chiatti C, and Axmon A
- Subjects
- Accidental Falls, Activities of Daily Living, Aged, Housing, Humans, Cognitive Dysfunction epidemiology, Disabled Persons
- Abstract
The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability ( n = 59); older adults with medium/high level of disability ( n = 26); adults with low level of disability ( n = 10); adults with high level of disability ( n = 8); and older adults with medium level of disability including at least moderate cognitive impairment ( n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those with medium/high level of disability. Changes within the client profiles demonstrate a complex pattern of improvements and declines, depending on outcome, with no profile showing consistent improvement or decline across all outcomes. The risks of deterioration over one year were the highest among those with cognitive impairments at baseline, but no recommendation of prioritization decisions based on baseline profiles can be made. Instead, it seems that all HA clients, independently of baseline profile, are at risk of increasing disability over time and require follow-up evaluations regularly.
- Published
- 2021
- Full Text
- View/download PDF
43. Organizational Support Experiences of Care Home and Home Care Staff in Sweden, Italy, Germany and the United Kingdom during the COVID-19 Pandemic.
- Author
-
Lethin C, Kenkmann A, Chiatti C, Christensen J, Backhouse T, Killett A, Fisher O, and Malmgren Fänge A
- Abstract
The COVID-19 pandemic has affected care workers all over the globe, as older and more vulnerable people face a high risk of developing severe symptoms and dying from the virus infection. The aim of this study was to compare staff experiences of stress and anxiety as well as internal and external organizational support in Sweden, Italy, Germany, and the United Kingdom (UK) in order to determine how care staff were affected by the pandemic. A 29-item online questionnaire was used to collect data from care staff respondents: management ( n = 136), nurses ( n = 132), nursing assistants ( n = 195), and other healthcare staff working in these organizations ( n = 132). Stress and anxiety levels were highest in the UK and Germany, with Swedish staff showing the least stress. Internal and external support only partially explain the outcomes. Striking discrepancies between different staff groups' assessment of organizational support as well as a lack of staff voice in the UK and Germany could be key factors in understanding staff's stress levels during the pandemic. Structural, political, cultural, and economic factors play a significant role, not only factors within the care organization or in the immediate context.
- Published
- 2021
- Full Text
- View/download PDF
44. Ecological factors associated with Emergency Department use by older people in Italy.
- Author
-
Barbabella F, Balducci F, Chiatti C, Cherubini A, and Salvi F
- Subjects
- Aged, Aged, 80 and over, Humans, Italy, Multivariate Analysis, Nursing Homes, Emergency Service, Hospital, Hospitalization
- Abstract
Background: Many studies investigated factors associated with overuse of Emergency Department (ED) by older people. However, there is little evidence of how a better access to long-term care services can affect ED visit rates. Therefore, we estimated the association between ED use and contextual (distance to closest ED), need (priority level at admission and care deprivation), predisposing (socio-economic conditions) and enabling factors (availability of health services) at the municipal level., Methods: We investigated ED visit rates by comparing the older population (aged 75 and more) to those aged less than 75 years among 233 municipalities and 13 health districts in the Marche Region, Central Italy. Administrative data were enriched by spatial dimensions. The outcomes were analysed using t-tests and ANOVA, while OLS and multilevel regressions have been used to identify independent correlates of ED visit rates., Results: Mean ED visit rate was 56.3% and 25.3% among older people and the rest of the population (< 75 years), respectively. The multivariate analysis for older people showed that the presence of an ED within the municipality and living alone were positively associated with ED use, whereas greater availability of nursing homes was negatively associated. For general population (< 75 years), distance to closest ED, economic deprivation and bigger hospitals were negatively associated with ED visits., Conclusions: Our study shows that interventions to reduce frequent ED use by older people should include the availability of long-term care facilities in the area. As population ageing is progressing, our results suggest that investing in alternative care options for older people with long-term care needs might have the beneficial impact of reducing the overall ED rates and improving quality and appropriateness of care.
- Published
- 2021
- Full Text
- View/download PDF
45. Impact of working situation on mental and physical health for informal caregivers of older people with Alzheimer's disease in Italy. Results from the UP-TECH longitudinal study.
- Author
-
Socci M, Principi A, Di Rosa M, Carney P, Chiatti C, and Lattanzio F
- Subjects
- Aged, Employment, Humans, Italy, Longitudinal Studies, Alzheimer Disease, Caregivers
- Abstract
Objectives: This longitudinal study explores whether the working situation (no change in working hours despite care, reduction of working hours due to care or not working) moderates mental and physical health of informal caregivers of older people with Alzheimer's disease (AD) in Italy., Methods: Data from a sample of 146 caregivers of older people with moderate AD involved in the UP-TECH trial across three waves were analysed. Multivariate analyses were used to study the association between independent variables (caregivers' work situation) and dependent variables (caregivers' psycho-physical health). In a second model, elements relating to the caregiver, the cared-for individual and the caregiving situation were added as controls., Results: Being forced to reduce working hours due to care tasks or not being employed independently from care was negatively associated with informal caregiver's physical health, compared with working carers not experiencing reduction of working hours. In the extended model, this result was confirmed. In comparison with working carers not forced to reduce working hours, non-working carers experienced higher levels of caregiver burden and depression, however these results were not confirmed in the adjusted model. Other factors also emerged as important including weekly hours of care, the cared-for older individual's ADL/IADL scores and informal support network., Conclusions: Given the positive effect of labour force participation on health of informal caregivers of older people with AD, policy makers should promote their employment avoiding their forced reduction of working hours, while also putting measures in place to decrease the intensity of informal care provision.
- Published
- 2021
- Full Text
- View/download PDF
46. Self-reported symptoms of depression and anxiety among informal caregivers of persons with dementia: a cross-sectional comparative study between Sweden and Italy.
- Author
-
Wulff J, Fänge AM, Lethin C, and Chiatti C
- Subjects
- Adult, Anxiety epidemiology, Cross-Sectional Studies, Depression epidemiology, Europe, Female, Humans, Italy epidemiology, Middle Aged, Self Report, Sweden epidemiology, Caregivers, Dementia epidemiology
- Abstract
Background: Around 50 million people worldwide are diagnosed with dementia and this number is due to triple by 2050. The majority of persons with dementia receive care and support from their family, friends or neighbours, who are generally known as informal caregivers. These might experience symptoms of depression and anxiety as a consequence of caregiving activities. Due to the different welfare system across European countries, this study aimed to investigate factors associated with self-reported depression and anxiety among informal dementia caregivers both in Sweden and Italy, to ultimately improve their health and well-being., Methods: This comparative cross-sectional study used baseline data from the Italian UP-TECH (n = 317) and the Swedish TECH@HOME (n = 89) studies. Main outcome variables were the severity of self-reported anxiety and depression symptoms, as measured by the Hospital Anxiety and Depression Scale (HADS). HADS scores were investigated using descriptive and bivariate statistics to compare means and standard deviations. Linear regressions were used to test for associations between potential factors and self-reported symptoms of depression and anxiety., Results: Italian informal caregivers reported more severe symptoms of depression and anxiety than Swedish caregivers. In Italy, a higher number of hours of caregiving was associated with anxiety symptoms (β = - 1.205; p = 0.029), being 40-54 years-old with depression symptoms (β = - 1.739; p = 0.003), and being female with symptoms of both depression (β = - 1.793; p < 0.001) and anxiety (β = 1.474; p = 0.005). In Sweden, a higher number of hours of caregiving and being < 39 years-old were associated with depression symptoms (β = 0.286; p < 0.000; β = 3.945; p = 0.014) and a higher number of hours of caregiving, the lack of additional informal caregivers and dementia severity were associated with anxiety symptoms (β = 0.164; p = 0.010; β = - 1.133; p = 0.033; β = - 1.181; p = 0.031)., Conclusion: Multiple factors are associated with self-reported symptoms of depression and anxiety among informal caregivers in Sweden and Italy. Factors found in this study partly differ between the two countries, suggesting the important role of cultural and social factors affecting the experience of caregiving. A deeper knowledge of these factors may increase the knowledge on potential protective and risk factors, provide information to policymakers and ultimately improve the psychological well-being of informal caregivers to people with dementia across Europe.
- Published
- 2020
- Full Text
- View/download PDF
47. IMAGINE study protocol of a clinical trial: a multi-center, investigator-blinded, randomized, 36-month, parallel-group to compare the effectiveness of motivational interview in rehabilitation of older stroke survivors.
- Author
-
Gual N, Pérez LM, Castellano-Tejedor C, Lusilla-Palacios P, Castro J, Soto-Bagaria L, Coll-Planas L, Roqué M, Vena AB, Fontecha B, Santiago JM, Lexell EM, Chiatti C, Iwarsson S, and Inzitari M
- Subjects
- Aged, Humans, Quality of Life, Spain epidemiology, Survivors, Treatment Outcome, Motivational Interviewing, Stroke diagnosis, Stroke therapy, Stroke Rehabilitation
- Abstract
Background: Rehabilitation pathways are crucial to reduce stroke-related disability. Motivational Interviewing (MI), as a person-centered complex intervention, aimed to empower and motivate, and could be a resource to improve rehabilitation outcomes for older stroke survivors. The IMAGINE project aims to assess the impact of MI, as a complement to standard geriatric rehabilitation, on functional improvement at 30 days after admission, compared to standard geriatric rehabilitation alone, in persons admitted to geriatric rehabilitation after a stroke. Secondary objectives include assessing the impact of MI on physical activity and performance, self-efficacy, safety, cost-utility, participants' experiences and functional status at 3 months., Methods: We will conduct a multicenter randomized clinical trial in three geriatric rehabilitation hospitals in Spain. Older adults after mild-moderate stroke without previous severe cognitive impairment or disability will be randomized into the control or intervention group (136 per group, total N = 272). The intervention group will receive 4 sessions of MI by trained nurses, including the design of a personalized rehabilitation plan agreed between stroke survivors and nurses based on stroke survivors´ goals, needs, preferences and capabilities. Main outcome will be the Functional Independence Measure (FIM). In-hospital physical activity will be measured through accelerometers and secondary outcomes using validated scales. The study includes a process evaluation and cost-utility analysis., Discussion: Final results are expected by end of 2020. This study will provide relevant information on the implementation of MI as a rehabilitation reinforcement tool in older stroke survivors. A potential reduction in post-stroke disability and dependence would increase person's health-related quality of life and well-being and reduce health and social care costs. IMAGINE has the potential to inform practice and policymakers on how to move forward towards shared decision-making and shared responsibilities in the vulnerable population of older stroke survivors., Trial Registration: ClinicalTrials.gov: NCT03434938 , registered on January 2018.
- Published
- 2020
- Full Text
- View/download PDF
48. Using sensor-based technology for safety and independence - the experiences of people with dementia and their families.
- Author
-
Malmgren Fänge A, Carlsson G, Chiatti C, and Lethin C
- Subjects
- Adult, Aged, Aged, 80 and over, Attitude to Computers, Dementia, Female, Humans, Male, Middle Aged, Qualitative Research, Reproducibility of Results, Biological Monitoring instrumentation, Biological Monitoring methods, Caregivers psychology, Family psychology, Health Personnel psychology, Patient Safety, Remote Sensing Technology
- Abstract
Background: The majority of people with dementia prefer to live independently and safely in their own home cared for by their family members. Much effort has been invested in the development of technology, such as sensor-based networks. Many challenges remain, in particular gaining more knowledge about their experiences and perceived benefits. This study aimed to explore experiences, needs and benefits with using sensor-based technology for safety and independence in the homes of people with dementia and their family members., Methods: This study is part of the TECH@HOME project, aiming to evaluate the effects of sensor-based technology on independence among people with dementia and caregiver stress among their family members. This study applied an inductive, qualitative approach with semi-structured interviews of people with dementia (n = 9) and family members (n = 21). The participants were interviewed between June and September 2018 after using the technology for at least 6 months. The interviews were analysed with manifest content analysis., Results: Our findings highlighted that technology was considered as a precaution and a safety measure that could provide a sense of having control of the everyday life of the person with dementia. Understanding and acceptance of the technology were as important, together with the reliability of the technology. Ethical dilemmas related to the monitoring of the person with dementia in the home were also raised., Conclusion: This study provides insights into how people with dementia and family members experience and benefit from using sensor-based technology in their own homes. The knowledge generated is essential for healthcare professionals and policymakers developing and implementing care and service systems including technology, as well as for the industry., (© 2019 Nordic College of Caring Science.)
- Published
- 2020
- Full Text
- View/download PDF
49. Identifying and validating housing adaptation client profiles - a mixed methods study.
- Author
-
Luther A, Chiatti C, Ekstam L, Thordardottir B, and Fänge AM
- Subjects
- Aged, Cross-Sectional Studies, Disabled Persons psychology, Environment, Female, Humans, Interviews as Topic, Male, Middle Aged, Qualitative Research, Sweden, Activities of Daily Living, Architectural Accessibility, Disabled Persons rehabilitation, Housing
- Abstract
Purpose : An increasing number of people will live with disabilities in their homes and consequently, the need for home-based interventions will increase. Housing adaptations (HAs) are modifications to the physical home environment with the purpose to enhance independence for a heterogeneous group of people. Increasing the knowledge of the characteristics of HA clients by exploring their heterogeneity, could facilitate the planning of interventions and allocation of resources. The purpose of this article was to identify and validate HA client profiles. Materials and methods: This cross-sectional study applied a mixed methods design to identify profiles of HA clients through cluster analysis confirmed by qualitative interview data. The sample consists of 241 HA clients in Sweden with a mean age of 75.1 years. Results: A classification into five groups emerged as the one best describing the heterogeneity of characteristics among this sample of clients. Five client profiles were outlined based on their age and level of disability, and the variation between the profiles was confirmed through the qualitative interview data. Conclusions: The identified client profiles are a step towards a better understanding of how home-based interventions could be delivered more effectively to groups of HA clients, based on their different characteristics.Implications for rehabilitationHousing adaptations are structural modifications to the physical home environment with the purpose to enhance independence for people with disabilities.People applying for housing adaptations are a heterogeneous group with different needs.This study outlines five client profiles which can guide professionals on how to differentiate home-based interventions and follow-up processes among housing adaptation clients.
- Published
- 2020
- Full Text
- View/download PDF
50. Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review.
- Author
-
Thordardottir B, Malmgren Fänge A, Lethin C, Rodriguez Gatta D, and Chiatti C
- Subjects
- Humans, Monitoring, Physiologic instrumentation, Monitoring, Physiologic methods, Caregivers, Cognitive Dysfunction physiopathology, Self-Help Devices, Wearable Electronic Devices
- Abstract
Cognitive impairments (CI), associated with the consequences of Alzheimer's disease and other dementias, are increasingly prevalent among older adults, leading to deterioration in self-care, mobility, and interpersonal relationships among them. Innovative Assistive Technologies (IAT) such as electronic reminders and surveillance systems are considered as increasingly important tools to facilitate independence among this population and their caregivers. The aim of this study is to synthesise knowledge on facilitators and barriers related to acceptance of and use of IAT among people with CI and their caregivers. This systematic review includes original papers with quantitative, qualitative, or mixed methods design. Relevant peer-reviewed articles published in English between 2007 and 2017 were retrieved in the following databases: CINAHL; PubMed; Inspec; and PsycINFO. The Mixed Method Appraisal Tool (MMAT) was used for quality assessment. We retrieved thirty studies, including in total 1655 participants from Europe, USA/Canada, Australia, and Asia, enrolled in their homes, care-residences, day-care centres, or Living Labs. Two-thirds of the studies tested technologies integrating home sensors and wearable devices for care and monitoring CI symptoms. Main facilitators for acceptance and adherence to IAT were familiarity with and motivation to use technologies, immediate perception of effectiveness (e.g., increase in safety perceptions), and low technical demands. Barriers identified included older age, low maturity of the IAT, little experience with technologies in general, lack of personalization, and support. More than 2/3 of the studies met 80% of the quality criteria of the MMAT. Low acceptance and use of IAT both independently and with caregivers remains a significant concern. More knowledge on facilitators and barriers to use of IAT among clients of health care and social services is crucial for the successful implementation of innovative programmes aiming to leverage innovative technologies for the independence of older people with CI.
- Published
- 2019
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.