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HEALTHY LIVING: A Health Risk Appraisal for Older Adults (HRA-OA). The Participant fills out a printed questionnaire, which is then processed by the HPN computer program
to generate a printed report. The questionnaire, printed in 14-point type, consists
of the 43 questions of the Midlife Adult HRA, plus additional questions for persons ages 55-90. Whereas the calculations for the Midlife questions are based on mortality statistics, the added questions
for the HRA-OA focus on functional status and morbidity. These questions are
divided into eight modules:
Existing conditions 29 questions
Home safety 13
questions
Functional status 22
questions
Nutrition 26
questions
Social supports 12
questions
Mental Health 20
questions
Vision, hearing, dental 22 questions
Demographics 8
questions
The individualized report
consists of the standard mortality based report for the Midlife HRA questions plus a report for the following outcomes:
Risk for Institutionalization
Functional
Status
Physical
Disability
Falls
Vision
Impairment
Hearing
Impairment
Nutrition
Adverse Drug Reactions
Influenza/Pneumonia
Mental
Health
Home
Environment Hazards
Burns
and Fire Related Injury
Tetanus
Existing
Conditions
Social Supports
The outcomes,
precursors, and questions appropriate for the older adult population were selected after an extensive literature review. A draft of the questionnaire was field tested in five sites with various populations
in Arizona, Georgia, Iowa, Tennessee, and Washington for a total of 1,400 Participants.
Reports from the field test administrators indicate that the HRA-OA was well received by the Participants, most of
whom completed the questionnaire in less than an hour. The results of the field test reports were compiled and analyzed to
arrive at norms, which are used to develop the morbidity and functional status estimates and report modules. The HPN Supporting
Materials also provide the option for the User to print the Age Pages produced by the National Institute on Aging. HPN provides the User with a list of the Age Pages so that the Participant can select those of interest.
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