Publications by authors named "Ayse Kuspinar"

Objective: To develop and evaluate virtual assessment protocols for the Timed-Up-and-Go usual and fast pace, Chair Rise-5 repetition, and the 1-minute Sit-to-Stand tests and examine their feasibility, reliability, and validity.

Design: This was a prospective cohort study, where participants engaged in up to 2 virtual assessments and data were collected prospectively for 1 year.

Setting: Assessments took place in participants' homes in the community.

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Introduction: A variety of techniques for measuring finger range of motion (ROM) are available for hand therapist use, however, there is no clear description of which finger ROM methods are preferred in practice. This study explored the preferred measurement techniques, the factors influencing clinical decision-making, and the clinical reasoning processes employed when faced with practice-based measurement scenarios.

Methods: This was a cross-sectional online survey study of hand therapists and American or Canadian Society of Hand Therapists members.

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Introduction: Through interviews with 148 older persons from four countries and in four languages, the content for a 17-item measure of active living was developed. The purpose of this paper is to present further evidence of the extent to which this new measure, Older Persons Active Living (OPAL), is "fit-for-purpose" for measuring the extent of active living at one point in time.

Methods: A cross-sectional study was carried out on a population aged 65 + and living independently, drawn from a participant panel, HostedinCanada, sampling people from Canada, United States, United Kingdom, and Netherlands.

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Article Synopsis
  • The project aimed to create a measure called Older Persons for Active Living (OPAL) that reflects what matters to older adults, as many do not identify as "patients" and want to remain active.
  • Content was developed through interviews with older people from various countries, resulting in thematic analysis to synthesize their views on active living.
  • The final measure identified 17 important "ways of being" that highlight the active lifestyle preferences of older adults, while emphasizing the need to account for cultural and linguistic differences in the development process.
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Background: Dementia caregiving is a dynamic and multidimensional process. To gain a comprehensive understanding of informal caregiving for people living with dementia (PLWD), it is pivotal to assess the quality of life (QoL) of informal caregivers.

Objective: To evaluate whether the care-recipient relationship type predicts changes in the QoL of informal caregivers of PLWD over a two-year period.

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Objectives: To evaluate the acceptability, reliability (inter- and intrarater), and validity (convergent, known groups, and predictive) of virtually administered gait speed tests for community-dwelling older adults.

Design: A prospective cohort study was performed, tracking health outcomes for a year.

Setting And Participants: The 3-m gait speed test at usual and fast pace was administered to community-dwelling older adults over Zoom.

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Introduction: Osteoarthritis (OA) is one of the most prevalent chronic conditions in Canada. Despite the established benefits of non-pharmacological management (education, exercise) for people with OA, many do not receive treatment, resulting in pain, decreased physical function, and poorer quality of life. Virtual programme options grew significantly during the recent pandemic and may provide longer-term opportunities for increased uptake by reaching individuals otherwise unable to participate.

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Objective: The gait speed test is one of the most widely used mobility assessments for older adults. We conducted a systematic review to evaluate and compare the measurement properties of the usual and fast gait speed tests in community-dwelling older adults.

Methods: Three databases were searched: MEDLINE, EMBASE and CINAHL.

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The objective of this study was to translate the Preference-Based Amyotrophic Lateral Sclerosis Scale to French-Canadian. After the scale underwent forward and back translations, the expert committee examined the translated versions and found minor grammatical errors and suggested idioms to be changed to better represent French-Canadian language. Cognitive debriefing interviews were carried out to assess the pre-final version for clarity, and minor changes were made.

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Background: Composite finger flexion (CFF) is proposed to be a convenient alternative to total active motion (TAM) and total passive motion (TPM). Passive CFF (PCFF) may be useful for early monitoring in post-operative rehabilitation of traumatic hand injuries.

Purpose: To determine whether active and passive CFF are reliable, valid, and responsive measures of hand motion and of higher utility to the tester.

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Introduction: Chronic disease management programs (CDMP) that include education and exercise enhance outcomes and reduce healthcare costs. Remote CDMP have the potential to provide convenient, cost-effective, and accessible options for individuals, but it is unclear how to best implement programs that include education and exercise. This review identified and synthesized resources for implementing remote CDMP programs that incorporate education and exercise.

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Preference-based measures (PBM) for health-related quality of life (HRQoL) are essential in assessing the cost-utility of different treatment options. The preference-based Parkinson's disease Index (PB-PDI) is being developed for people with Parkinson's disease (PD). The aim of this study was to refine the PB-PDI through cognitive interviews with people with PD.

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Individuals with pre-clinical mobility limitation (PCML) are at a high risk of future functional loss and progression to disability. The purpose of this scoping review was to provide a comprehensive understanding of PCML intervention studies in middle-aged and older adults. We present the interventions that have been tested or planned, describe how they have been conducted and reported, identify the knowledge gaps in current literature, and make recommendations about future research directions.

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Introduction: Maintaining quality of life (QoL) has been identified as the primary goal of care services for person living with dementia (PLWD).

Methods: A secondary analysis was conducted on five rounds of the National Health and Aging Trends Study (NHATS) over 4 years. A generalized estimating equation (GEE) was used to examine the prediction of relationship type on older adults' QoL through four domains: mental health, general health, functional limitations, and pain.

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Article Synopsis
  • The review focused on life-space mobility, which is key for healthy aging and involves mobility within both home and community environments for older adults.
  • The study used COSMIN guidelines to analyze various life-space mobility measures and included 21 articles, highlighting the Life-Space Assessment (LSA) as the most thoroughly evaluated tool.
  • The LSA showed strong measurement properties, including validity and reliability, making it a suitable option for assessing life-space mobility in older adults living in the community.*
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Article Synopsis
  • Mobility is called the 'sixth vital sign' since it can indicate health outcomes in older adults, encompassing physical actions and transportation methods.
  • The current measurement tools for mobility are inconsistent, making it hard to compare results across different studies.
  • This paper suggests a new framework to measure mobility by focusing on perceived ability, actual ability, and locomotor capacity, aligning with WHO's components of healthy aging to improve how we monitor mobility in older individuals.
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Objectives: The objective of this systematic review was to synthesise the psychometric properties of measures of perceived mobility ability and related frameworks used to define and operationalise mobility in community-dwelling older adults.

Methods: We registered the review protocol with PROSPERO (CRD42022306689) and included studies that examined the psychometric properties of perceived mobility measures in community-dwelling older adults. Five databases were searched to identify potentially relevant primary studies.

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Objective: The self-administered version of the Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) is used to monitor function and disease progression in individuals with amyotrophic lateral sclerosis (ALS). However, the performance of the self-administered ALSFRS-R has not been assessed using Rasch Measurement Theory. Therefore, the purpose of this study was to examine the psychometric properties of the self-administered ALSFRS-R using Rasch analysis.

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Purpose: There is growing interest in intelligent assistive technologies (IATs) in the rehabilitation and support of older adults, however, the factors contributing to or preventing their use in practice are not well understood. This study aimed to develop an overview of current knowledge on barriers and facilitators to the use of smart technologies in rehabilitative practice with older adults.

Materials And Methods: We undertook a scoping review following guidelines proposed by Arksey and O'Malley (2005) and Levac et al.

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Background: Early change in function in older adults has been termed preclinical disability (PCD). PCD has been understudied compared to other stages of disability because it is unlikely to receive comparative priority in clinical settings. It has major implications for prevention and population health as it may be the optimal time to intervene to prevent further decline.

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Background: decreased muscle strength and physical function often precede disability, nursing home admission, home care use and mortality in older adults. Normative values for commonly used physical performance-based tests are not widely available for older adults but are required for clinicians and researchers to easily identify individuals with low performance.

Objective: to develop normative values for grip strength, gait speed, timed up and go, single-leg balance and five-repetition chair rise tests in a large population-based sample of Canadians aged 45-85 years.

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Article Synopsis
  • The study explores the reliability of performance-based mobility tests (like TUG and gait speed) in different age groups within aging populations.
  • It involved a sample of 147 participants aged 50 and up, examining how variations in assessment protocols affect reliability.
  • Results indicated that certain protocols, like TUG fast pace and chair-rise with arms allowed, showed better reliability, particularly in younger seniors, providing valuable insights for improving tests in geriatric assessments.
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Background: The Life-Space Assessment (LSA) can compliment traditional physical performance measures of mobility by accounting for the interaction between individuals and their environment. However, there are no studies that have generated percentile curves showing sex-stratified reference values in a large population-based sample of community-dwelling adults, making its interpretation difficult. Therefore, this study aimed to establish sex-stratified reference values for the LSA in middle-aged and older Canadians.

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Background: Physical activity and a healthy diet are important in helping to maintain mobility and quality of life with aging. Delivery of physical activity and nutrition interventions in a group setting adds the benefits of social participation. Several published systematic reviews have explored a broad range of PA and/or nutrition interventions for older adults, making it challenging to bring together the best scientific evidence to inform program design and to inform multicomponent intervention development.

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