From: A comprehensive assessment for community-based, person-centered care for older adults
Dimension | Number of Items | Details | References |
---|---|---|---|
Demographics | 5 | Age, sex, race, ethnicity, birthplace, primary language | UCLA Rand CGA* |
Social Determinates | 17 | Health behaviors (smoking, drinking) education, monthly income, housing, insurance, household size, need for translation | Serving Seniors’ Universal Intake adapted from UCLA Rand CGA* |
 | 3 | Loneliness | UCLA 3-item Revised Loneliness Scalea* |
 | 5 | Health literacy | MICASAb* & Chew et al. 2008c* |
Nutrition | 1 | Appropriate food consumption | National Health and Nutrition Examination Survey (NHANES 2012)* |
 | 1 | Food worry | The Q Database (California Department of Aging) |
Function | 13 | Functional status | Vulnerable Elder’s Survey 13 (VES-13)* |
 | 6 | Fall history, hearing, vision, memory problems | Serving Seniors Universal Intake |
Quality of Life | 14 | Older People’s Quality of Life-Brief | Older People Quality of Life Measure – Brief (OPQoL-B)* |
Medical | 26 | Self-rated health Active Medical Problem Recent symptoms Allergies Pain | UCLA Rand CGA* |
Dental | 10 | Self-rated oral health status Denture use Hygiene Behaviors Barriers to care Dental pain Perceived treatment needs | Hispanic Community Health Study/ Study of Latinos (HCHS/SOL)* |
 | 2 | Food limitation due to dental problems Saliva production | Geriatric Oral Health Assessment Index (GOHAI)* |
 | 3 | Access Barriers Utilization History Recent Symptoms | National Health and Nutrition Examination Survey (NHANES 2015)* |
 | 1 | Dental debility | Oral Health Impact Profile (OHIP)* |
Mental | 4 | Mental Health History (active problems) | UCLA RAND CGA* |
 | 9 | Depression and Suicide screen | Patient Health Questionnaire (PHQ-9)* |