Secondary Data Analysis in Health Research

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Secondary Data Analysis in Health Research

• March 17th (Happy St-Pats!)
• Éric Thériault

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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 (CMMS, 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
OntarioSome 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?