Cynthia M. Boyd|Jennifer L. Wolff|Erin R. Giovannetti|Lisa Reider|Carlos O. Weiss|Xue Qin|Bruce Leff|Chad Boult|Travonia Hughes|Cynthia M. Rand
Healthcare Task Difficulty Among Older Adults With Multimorbidity
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Patient-Centered Outcomes Research Institute|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University
applying diseasespecific guidelines people multimorbidity may result complex regimens impose treatment burdento describe validate measure healthcare task difficulty hctd sample older adults multimorbiditycrosssectional longitudinal secondary data analysismultimorbid adults aged 65 years older primary care clinicswe generated scale 016 selfreported difficulty 8 hctd conducted factor analysis assess dimensionality internal consistency assess predictive ability crosssectional associations hctd number chronic diseases conditions add health status complexity falls visual hearing impairment patient activation patientreported quality chronic illness care patient assessment chronic illness care mental physical health sf36 tested using statistical tests trend n904 longitudinal analyses effects change hctd changes outcomes conducted among subset n370 1 followup 6 andor 18 months models adjusted age education sex race timegreater hctd associated worse mental physical health cuzick test trend p005 patientreported quality chronic illness care p005 longitudinal analysis increasing patient activation associated declining hctd time p001 increasing hctd time associated declining mental p0001 physical health p0001 patientreported quality chronic illness care p005the findings study establish construct validity hctd scale