Standardization and Validation of the Multidimensional Observation Scale for Elderly Subjects (MOSES)

Helmes, Edward; Csapo, Kalman G.; Short, Judith-Ann C.

doi:10.1093/geronj/42.4.395

Cited by 175 publications

(121 citation statements)

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“…34 The scale contains 11 items including "good spirits," "sad or depressed," and "crying" and was scored in the symptomatic direction. The α C for this sample was 0.705.…”

Section: Interview Instrumentsmentioning

confidence: 99%

Verbal and Physical Aggression Directed at Nursing Home Staff by Residents

et al. 2012

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CONTEXT: Little research has been conducted on aggression directed at staff by nursing home residents. OBJECTIVE: To estimate the prevalence of resident-tostaff aggression (RSA) over a 2-week period. DESIGN: Prevalent cohort study. SETTING: Large urban nursing homes. PARTICIPANTS: Population-based sample of 1,552 residents (80 % of eligible residents) and 282 certified nursing assistants. MAIN OUTCOME MEASURES: Measures of resident characteristics and staff reports of physical, verbal, or sexual behaviors directed at staff by residents. RESULTS: The staff response rate was 89 %. Staff reported that 15.6 % of residents directed aggressive behaviors toward them (2.8 % physical, 7.5 % verbal, 0.5 % sexual, and 4.8 % both verbal and physical). The most commonly reported type was verbal (12.4 %), particularly screaming at the certified nursing assistant (9.0 % of residents). Overall, physical aggression toward staff was reported for 7.6 % of residents, the most common being hitting (3.9 % of residents). Aggressive behaviors occurred most commonly in resident rooms (77.2 %) and in the morning (84.3 %), typically during the provision of morning care. In a logistic regression model, three clinical factors were significantly associated with resident-to-staff aggression: greater disordered behavior (OR =6.48, 95 % CI: 4.55, 9.21), affective disturbance (OR=2.29, 95 % CI: 1.68, 3.13), and need for activities of daily living morning assistance (OR= 2.16, 95 % CI: 1.53, 3.05). Hispanic (as contrasted with White) residents were less likely to be identified as aggressors toward staff (OR=0.57, 95 % CI: 0.36, 0.91). CONCLUSION: Resident-to-staff aggression in nursing homes is common, particularly during morning care. A variety of demographic and clinical factors was associated with resident-to-staff aggression; this could serve as the basis for evidence-based interventions. Because RSA may negatively affect the quality of care, resident and staff safety, and staff job satisfaction and turnover, further research is needed to understand its causes and consequences and to develop interventions to mitigate its potential impact.KEY WORDS: nursing home; dementia-related behaviors; elder abuse; staff mistreatment.

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“…34 The scale contains 11 items including "good spirits," "sad or depressed," and "crying" and was scored in the symptomatic direction. The α C for this sample was 0.705.…”

Section: Interview Instrumentsmentioning

confidence: 99%

Verbal and Physical Aggression Directed at Nursing Home Staff by Residents

et al. 2012

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“…All individual studies had insignificant results, but the trends were again in favor of treatment. Statistics were as follows: using the Crichton, SMD ϭ Ϫ 0.45, 95% CI ϭ Ϫ 1.37-0.46 (Wallis et al, 1983); using the Self-Care Functioning subscale of the MOSES (Helmes, Csapo, & Short, 1987), SMD ϭ Ϫ 0.59, 95% CI ϭ Ϫ 1.58-0.40 (Ferrario et al, 1991); using the Crichton, SMD ϭ Ϫ 0.54, 95% CI ϭ Ϫ 1.90-0.82 (Woods, 1979); and using the Behavioural subscale of the CAPE, SMD ϭ Ϫ 1.32, 95% CI ϭ Ϫ 2.77-0.12 (Baines et al, 1987).…”

Section: Meta-analysismentioning

confidence: 99%

Reality Orientation for Dementia

Spector¹,

Davies²,

Woods³

et al. 2000

The Gerontologist

141

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The effectiveness of classroom reality orientation (RO) in dementia was evaluated by conducting a systematic literature review. This yielded 43 studies, of which 6 were randomized controlled trials meeting the inclusion criteria (containing 125 subjects.) Results were subjected to meta-analysis. Effects on cognition and behavior were significant in favor of treatment (cognition standardized mean difference [SMD] ϭ Ϫ 0.59; 95% confidence interval [CI] Ϫ 0.95-Ϫ 0.22; behavior SMD ϭ Ϫ 0.64, 95% CI ϭ Ϫ 1.20-Ϫ 0.08). The evidence indicates that RO has benefits on both cognition and behavior for dementia sufferers. However, a continued program may be needed to sustain potential benefits. Future research should evaluate RO in well-designed multicenter trials.

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“…Behavioural status is most commonly measured by psychosocial function in the literature. The Multidimensional Observation Scale for Elderly Subjects (MOSES) [13] was used to measure psychosocial functioning among residents in this study. It is based on daytime behaviours (7 a.m. to 9 p.m.) in the past 4-6 days.…”

Section: Methodsmentioning

confidence: 99%

“…The scale, which is 40 items long, assesses five areas of functioning including self-care, disorientation, depressed/anxious mood, irritable and withdrawn behaviours. Subscale inter-rater reliabilities range from 0.58 for depression to 0.97 for self-care, and inter-rater reliability for the scale as a whole is 0.77; while internal consistency is 0.81 [13]. The MOSES has been shown to discriminate between groups of residents in continuing care and to be responsive to change over time [13].…”

Section: Methodsmentioning

confidence: 99%

“…Subscale inter-rater reliabilities range from 0.58 for depression to 0.97 for self-care, and inter-rater reliability for the scale as a whole is 0.77; while internal consistency is 0.81 [13]. The MOSES has been shown to discriminate between groups of residents in continuing care and to be responsive to change over time [13]. This observational scale is not discipline specific in terms of who can use it to rate residents.…”

Section: Methodsmentioning

confidence: 99%

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Innovative Dementia Care: Functional Status over Time of Persons with Alzheimer Disease in a Residential Care Centre Compared to Special Care Units

Warren

Janzen

Andiel-Hett

et al. 2001

Dement Geriatr Cogn Disord

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Residential care centres (RCCs) for persons with Alzheimer disease are increasing worldwide, but there are few studies that compare the functional outcomes of RCC residents to residents of other types of continuing care settings. This study compared residents of the first Canadian RCC on physical, cognitive, behavioural and emotional functioning 6, 12 and 18 months after admission to residents of special care units (SCUs) operated by the same continuing care provider. SCU residents were initially functioning lower than RCC residents on most outcome measures and these differences persisted over time. Resident functioning declined over time regardless of care setting and, when the initial status was controlled for, the rates of decline were similar. However, RCC residents experienced greater independence/freedom of choice, fewer physical or psychotropic medication restraints and were more active, which may have enhanced their quality of life.

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Standardization and Validation of the Multidimensional Observation Scale for Elderly Subjects (MOSES)

Cited by 175 publications

References 0 publications

Verbal and Physical Aggression Directed at Nursing Home Staff by Residents

Verbal and Physical Aggression Directed at Nursing Home Staff by Residents

Reality Orientation for Dementia

Innovative Dementia Care: Functional Status over Time of Persons with Alzheimer Disease in a Residential Care Centre Compared to Special Care Units

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