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Usman JS, Salisu R, Abdullahi A, Salihu AT, Muhammad AH, Sulaiman SK, Yakasai AM. Assistive Technology utilization among stroke survivors in Kano, Northwest Nigeria: A cross-sectional study. Assist Technol 2024; 36:209-216. [PMID: 37699108 DOI: 10.1080/10400435.2023.2244560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2023] [Indexed: 09/14/2023] Open
Abstract
Mobility impairments and participation restrictions are common occurrences post-stroke, which may necessitate the need to utilize Assistive Technology (AT). This study investigated the prevalence, pattern, and satisfaction with AT utilization in stroke survivors (SS). The study was conducted in two hospitals in Kano, Nigeria. The QUBEC user evaluation of satisfaction with AT (QUEST) questionnaire and the Rivermead Mobility Index were used to assess satisfaction with AT utilization and mobility, respectively. Pearson correlation and independent t-test were used to determine the relationship and gender difference among the outcomes, respectively. A total of 280 SS participated; however, only 115 (41.07%) were AT users. The commonly used AT was wheelchair 84 (73%), while the least used was walking frame 3 (2.6%). About two-thirds of the participants were quite or very satisfied with their ATs. The duration of AT utilization is positively related to stroke duration (r = 0.940) but negatively related to mobility level (r = -0.246). There is no significant gender difference in duration and satisfaction with AT utilization. AT like wheelchairs seems uncommonly utilized among SS in Kano, Nigeria, likely due to patients' lack of knowledge of use, economic factors, and culture among others.
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Affiliation(s)
- Jibrin Sammani Usman
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria
| | - Rabbilu Salisu
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria
| | - Auwal Abdullahi
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria
| | - Abubakar Tijjani Salihu
- Monash Neuromodulation Research Unit, Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia
| | - Ashiru Hamza Muhammad
- Department of Public Health, Godiya Disability Inclusion and Development Initiative, Dutse, Jigawa, Nigeria
| | - Surajo Kamilu Sulaiman
- Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria
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Nie Z, Gao S, Ge S, Jiang Y, Liang W, Yang R. Low adoption of mobility device in later life: Insights from the lens of intersectionality. Geriatr Nurs 2024; 57:140-146. [PMID: 38643734 DOI: 10.1016/j.gerinurse.2024.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2023] [Revised: 03/17/2024] [Accepted: 04/12/2024] [Indexed: 04/23/2024]
Abstract
OBJECTIVES To investigate the utilization of mobility device, whether age and gender-related use disparities exist, and whether falls can further explain use disparities over time among Chinese older adults in need of devices. METHODS Community-dwelling older adults who needed mobility devices and completed four waves of the China Health and Retirement Survey 2011-2018 were included (N = 1,302). A categorical variable was created to represent respondents' intersectionality of age (50-64, 65-74, and ≥75 years) and gender (men vs. women). RESULTS The baseline prevalence of device use was 18.2 % (n = 237). Overall, the device use increased over time. Intersectionality-wise, oldest-old women were 1.53 times more likely than youngest-old men to use devices over time. Respondents with falls were more likely to use devices over time. CONCLUSIONS Older adults with mobility impairment, especially the oldest-old women and those with falls, lag in mobility devices utilization, suggesting future tailored interventions to support these populations.
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Affiliation(s)
- Zuoting Nie
- Nanjing Medical University School of Nursing, Nanjing, Jiangsu 211166, China
| | - Shiying Gao
- Nanjing Medical University School of Nursing, Nanjing, Jiangsu 211166, China
| | - Song Ge
- Department of Natural Sciences, University of Houston-Downtown, Houston 77002, USA
| | - Yun Jiang
- University of Michigan School of Nursing, Ann Arbor, Michigan, 48109, USA
| | - Wei Liang
- Nanjing Medical University School of Nursing, Nanjing, Jiangsu 211166, China
| | - Rumei Yang
- Nanjing Medical University School of Nursing, Nanjing, Jiangsu 211166, China.
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Kim D, Lee MJ, Kang J. Exploring Differences in Home Modification Strategies According to Household Location and Occupant Disability Status: 2019 American Housing Survey Analysis. J Appl Gerontol 2024; 43:231-241. [PMID: 37801694 DOI: 10.1177/07334648231202678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/08/2023] Open
Abstract
Home modification is essential in helping older adults age in place safely and independently. The purpose of this study was to examine the impact of housing location and disability status on home modification projects among older adults using the 2019 American Housing Survey Data. The study found that recent home modification strategies were significantly different according to older adults' housing locations and health status. Older adults in non-metropolitan areas and with disability were less likely to make home modifications, and when they did so, they spent less money on the modifications. The findings highlight the importance of providing adequate home modification programs and resources for home modifications, as well as support and education from community organizations, particularly for older adults in non-metropolitan areas. The results of this study can assist in developing housing policies and guidelines to address these current and future challenges in home modification implementation for the aging population.
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Affiliation(s)
- Daejin Kim
- Department of Interior Design, Iowa State University, Ames, IA, USA
| | - Mi Jung Lee
- Department of Nutrition, Metabolism, and Rehabilitation Sciences, The University of Texas Medical Branch at Galveston, Galveston, TX, USA
| | - Jaewon Kang
- Department of Kinesiology and Community Health, The University of Illinois Urbana-Champaign, Urbana, IL, USA
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Jahan AM, Guitard P, Jutai JW. Psychosocial predictors of mobility assistive devices non-adherence among older adults. Disabil Rehabil Assist Technol 2024:1-9. [PMID: 38393746 DOI: 10.1080/17483107.2024.2320723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Accepted: 02/13/2024] [Indexed: 02/25/2024]
Abstract
Background: Mobility assistive devices (MADs) provide support to older adults to improve their quality of life; however, research shows that as many as 75% of older adults are non-adherent to prescribed MADs. This study investigated the psychosocial factors that predict non-adherence to MADs among older adults.Methods: A sample of Canadian older adult MADs users who resided in a long-term care facility was included. The data was collected using the Psychosocial Impact of Assistive Devices Scale (PIADS), and the Medical Outcomes Study Social Support Survey (mMOS-SS). Data analysis was performed using SPSS 28. Descriptive statistics were used to describe the sample and the study variables. Pearson correlation coefficients were used to evaluate the association between the study variables. Variables that were associated with non-adherence in a univariate analysis were subsequently entered into a multiple regression analysis.Results: The sample comprised 48 residents (26 females and 22 males), with a mean age of 86.8. In the univariate analysis, scores from the three PIADS subscales, namely, Competence, Adaptability, and Self-esteem, and the Social Support scale were significantly correlated with non-adherence (p < 0.05). In the multiple regression analyses, only Self-esteem significantly predicted non-adherence (p < 0.05), and this model explained between 43.5 and 54.3% of the variance in non-adherence.Conclusion: This study revealed that the Self-esteem construct, which includes several concepts related to psychological well-being, was the only significant predictor of non-adherence among the studied sample of older adults. The clinical implications of the findings are subsequently discussed.
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Affiliation(s)
- Alhadi M Jahan
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, Canada
| | - Paulette Guitard
- School of Rehabilitation Sciences, University of Ottawa, Ottawa, Canada
| | - Jeffrey W Jutai
- School of Interdisciplinary Health Sciences and Life Research Institute, University of Ottawa, Ottawa, Canada
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Su TT, Mejía ST. Capturing multiple assistive technology use and its impact in later life: lessons learned from distinct measurement approaches. Disabil Rehabil Assist Technol 2023:1-10. [PMID: 38112328 DOI: 10.1080/17483107.2023.2294990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 12/08/2023] [Indexed: 12/21/2023]
Abstract
PURPOSE Assistive technology (AT) use is prevalent in older adulthood and can accommodate activity difficulties to support well-being. However, within the context of multiple activity difficulties and multiple technology use, it is unclear how to best assess their combined effects on older adults' health outcomes. This study proposed four distinct approaches to quantify multiple AT use and examined their respective impact in later life. MATERIAL AND METHODS Using data from the 2015 round of the National Health and Aging Trends Study (n = 6,936), we compared four indices to summarize the state of multiple AT use among the U.S. older population: binary, item-specific, cumulative, and accommodative. Separate regression analyses tested the impact of each index on older adults' well-being and restricted participation in meaningful activities. RESULTS In 2015, 59.9% of the respondents were identified as AT users. Among these users, 53.8% reported using two or more technologies when performing daily self-care and mobility activities. The implications of multiple AT use for health outcomes varied across the four indices. Approaches that captured elements of person-technology fit provided the most nuanced and actionable insights on the benefits of using AT to support well-being. CONCLUSIONS ATs were commonly adopted by older adults in everyday activities. Overall, findings suggest that there are multiple approaches to conceptualize the independent, cumulative, or balanced effects of multiple AT use. Each measurement approach has unique implications for understanding the impacts of using ATs on older adults' health outcomes.
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Affiliation(s)
- Tai-Te Su
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL, USA
| | - Shannon T Mejía
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Champaign, IL, USA
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Schmidt LI, Wagner M, Büßecker HA, Franke AA. Who uses technical aids in old age? Exploring the implementation of technology-based home modifications in Europe. Front Public Health 2023; 11:1130177. [PMID: 37064714 PMCID: PMC10099246 DOI: 10.3389/fpubh.2023.1130177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 02/28/2023] [Indexed: 04/18/2023] Open
Abstract
Introduction Home modifications and features, e.g., handrails or ramps for people using wheelchairs, should allow residents with functional limitations to maintain social participation, health, and wellbeing for aging in place. However, there is little evidence in relation to the individual characteristics shaping this implementation of technology-based home modifications. Current studies often focus on describing the distribution of certain implementations in households but do not provide information on factors predicting the implementation or detailed and multifaceted data on associations with characteristics of the older user. This article, therefore, examines the use of well-established technological aids and home modifications (e.g., ramps, handrails, automatic doors, bathroom or kitchen modifications, chair lifts, and alerting devices) in the households of older adults in Europe. We refer to Lawton's and Nahemow's concept of personal-environment fit and describe the use of technical aids across 18 countries, analyze associations with individual characteristics and social resources, and compare those associations and variance explanation between older adults in their third age ("young-old", 65-79 years) and older adults in their fourth age ("old-old", 80+). Methods Drawing on representative data from the Survey of Health, Ageing, and Retirement in Europe (SHARE), wave 6, a total of N = 38,553 older adults aged 65-105 years (M = 74.4 years, SD = 7.1; 55% women) were analyzed by performing hierarchical logistic regression analyses. Results Indicators of functioning explained the highest proportion of variance, followed by social resources, and variance explanation was higher for the fourth age than for the third age. In particular, older adults with physical limitations, a larger social network, and those who received care from a child outside the household were more likely to have home modifications installed. Discussion The study provides an overview of associations of diverse variables with assistive devices and modifications in the home and can serve as a starting point for public health activities concerning the heterogeneity of people aged 65 years and older.
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Affiliation(s)
- Laura I. Schmidt
- Institute of Psychology, Heidelberg University, Heidelberg, Germany
- Laura I. Schmidt
| | - Melanie Wagner
- Max Planck Institute for Social Law and Social Policy, Max Planck Society Munich, Munich, Germany
| | | | - Annette A. Franke
- Department of Social Work, Protestant University of Applied Sciences Ludwigsburg, Ludwigsburg, Germany
- *Correspondence: Annette A. Franke
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Ngarambe R, Sagahutu JB, Nuhu A, Tumusiime DK. The status and use of prosthetic devices by persons with lower limb amputation in Rwanda. Afr J Disabil 2022; 11:1081. [PMID: 36567927 PMCID: PMC9772723 DOI: 10.4102/ajod.v11i0.1081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Accepted: 09/12/2022] [Indexed: 12/23/2022] Open
Abstract
Background Amputation is one of the leading causes of disabilities because of reduced mobility. Without assistive devices specifically prostheses, the quality of life of persons with lower limb amputation (PLLA) further deteriorates. Therefore, prostheses are fundamental to improving their quality of life. Objectives This study aimed to establish the number of PLLA with or without prosthesis and to determine their socio-economic profile in Rwanda. Method A descriptive, cross-sectional study was conducted in all sectors of Rwanda. As a result of coronavirus disease 2019 movement restrictions, data collection was carried out through telephone calls with participants to complete the questionnaires. Descriptive, inferential statistics and chi-square test were performed to analyse data using Statistical Package for Social Science (SPSS) 21.0. Results Of the 3026 participants identified countrywide, 68.8% were males and 60.3% of them did not have any prosthesis (p = 0.003). The majority (62.4%) of those who had prosthetic devices needed repair of their prostheses while 14.8% of participants reported that their prosthetic devices were completely broken and/or damaged (p = 0.604). Among the participants, 63.7% had no source of income and 66.7% had dependents (p ≤ 0.001). Conclusion The majority of the PLLA in Rwanda did not have prosthetic devices and even those with prostheses did not fully function and thus required repair. Therefore, it adversely affects their livelihood. Contribution The government should collaborate with stakeholders working with persons with disabilities and implement mechanisms and/or strategies to make prosthetic devices accessible and affordable.
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Affiliation(s)
- Robert Ngarambe
- Department of Physiotherapy, Faculty of Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Jean Baptiste Sagahutu
- Department of Physiotherapy, Faculty of Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Assuman Nuhu
- Department of Physiotherapy, Faculty of Health Sciences, University of Rwanda, Kigali, Rwanda
| | - David K. Tumusiime
- Department of Physiotherapy, Faculty of Health Sciences, University of Rwanda, Kigali, Rwanda,Department of Rehabilitation, The Regional Centre of Excellence in Biomedical Engineering and eHealth, University of Rwanda, Kigali, Rwanda
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Factors influencing utilisation of assistive devices by the elderly in China: a community-based cross-sectional study. Public Health 2022; 213:12-18. [PMID: 36332412 DOI: 10.1016/j.puhe.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 06/24/2022] [Accepted: 09/07/2022] [Indexed: 11/21/2022]
Abstract
OBJECTIVES The study aimed to gain an insight into the utilisation, self-perceived needs, and attitudes towards and influencing factors of assistive device (AD) usage among community-dwelling older adults in China. STUDY DESIGN This is a cross-sectional study. METHODS A total of 5790 elderly people from eight communities within three provinces in China were recruited by convenience sampling. Utilisation, needs and attitudes towards ADs were assessed by a questionnaire designed by the authors. Barthel activities of daily living scale was used to determine disability, whereas cognitive function was assessed with the Mini-Mental State Examination. The impact of participant characteristics, enabling factors and demand factors on the utilisation of ADs were assessed by univariate and multifactor analyses. RESULTS The prevalence of AD ownership among participants was 10.9% (n = 634), whereas the self-perceived need for ADs was 46.1% (n = 2670). Most participants had negative attitudes towards ADs, with only 37.6% (n = 2175) of participants believing that ADs were of significant help. Factors influencing the usage of ADs included participant characteristics (age, occupation, living area, education), enabling factors (economic situation, number of children) and demand factors (activities of daily living score, attitudes, self-perceived needs). CONCLUSIONS Although ADs for the elderly in China have become more affordable and accessible after a series of reforms, there remains a gap in AD services resulting in low AD utilisation, high self-perceived needs and misconceptions of ADs. Certain factors influencing the use of ADs are more significant than others. The findings from this study will be informative for healthcare providers and decision-makers when designing strategies to achieve universal elderly AD usage.
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Ng BP, Lu J, Tiu GF, Thiamwong L, Zhong Y. Bathroom modifications among community-dwelling older adults who experience falls in the United States: A cross-sectional study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:253-263. [PMID: 33894087 PMCID: PMC10028600 DOI: 10.1111/hsc.13398] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Revised: 03/19/2021] [Accepted: 03/26/2021] [Indexed: 06/12/2023]
Abstract
Falls impose substantial health and economic burdens on older adults. Over half of falls in older adults occur at home, with many involving bathroom areas. Limited information is available on the presence of bathroom modifications for those who experience them. Therefore, we examined factors associated with bathroom modifications among older adults with at least one fall in the United States. We analysed the nationally representative 2016 Medicare Current Beneficiary Survey Public Use File of Medicare beneficiaries aged ≥65 years with ≥1 fall (n = 2,404). A survey-weighted logistic model was used to examine associations between bathroom modifications and factors including socio-demographic characteristics, health-related conditions, and fear of falling. Among Medicare beneficiaries with ≥1 fall, 55.5% had bathroom modifications and 50.1% had repeated falls (≥2 falls). Approximately 40.2% of those with repeated falls had no bathroom modifications. In the adjusted model, non-Hispanic Blacks (odds ratio [OR] = 0.38; p < 0.001) and Hispanics (OR = 0.64; p = 0.039) had lower odds of having bathroom modifications than non-Hispanic Whites. Fear of falling and activities of daily living limitations had incremental impacts on having bathroom modifications. This study highlights the need to improve disparities in bathroom modifications for non-Hispanic Black and Hispanic Medicare beneficiaries, including those with repeated falls. With the aging population and growing number of older minorities in the United States, reducing these disparities is vital for fall prevention efforts and aging-in-place.
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Affiliation(s)
- Boon Peng Ng
- College of Nursing, University of Central Florida, Orlando, FL, USA
- Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL, USA
| | - Jingping Lu
- Department of Statistics and Data Science, University of Central Florida, Orlando, FL, USA
| | - Georgianne F. Tiu
- Department of Health Management and Policy, University of Kentucky, Lexington, KY, USA
| | - Ladda Thiamwong
- College of Nursing, University of Central Florida, Orlando, FL, USA
- Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL, USA
| | - YunYing Zhong
- Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL, USA
- Department of Hospitality Service, University of Central Florida, Orlando, FL, USA
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Teas E, Robertson O, Marceau K, Friedman E. Not Seeing Double: Discordance in Disease, Function, and Their Longitudinal Associations in Monozygotic Twins. Psychosom Med 2021; 83:724-732. [PMID: 34297005 PMCID: PMC8419100 DOI: 10.1097/psy.0000000000000972] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Prior research on the causality and directionality between disease and functional limitations is ambiguous. The current study used longitudinal monozygotic twin data to test both directions linking disease burden and functional limitations in middle-aged and older adults, controlling for genetic and familial factors. We also examined potential moderation by psychological well-being. METHODS The twin subsample from the first two waves of the longitudinal Midlife in the United States (MIDUS) study was used (wave 1, 1995-1996; wave 2, 2004-2006). Only monozygotic twins (n = 713) were included in analyses. In separate multilevel models, we examined disease burden at MIDUS 2 predicted by functional limitations at MIDUS 1 and MIDUS 2 functional limitations predicted by disease burden at MIDUS 1. RESULTS Disease burden and functional limitations at MIDUS 2 varied substantially within families. There was no within-family association of earlier functional limitations with change in later disease burden (b = 0.40, p = .39), but there was a within-family association such that the twin with higher baseline disease burden had a greater increase in functional limitations than his/her co-twin (b = 0.06, p = .02). Well-being was not a moderator in either model. CONCLUSIONS We found support for a potentially causal association between earlier disease burden and later increases in functional limitations, consistent with the Disablement Process Model. Sensitivity analyses confirm the detected within-family effect. Possible mechanisms linking disease burden and functional limitations are discussed as potential targets for future research.
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Affiliation(s)
- Elizabeth Teas
- Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA
- Center for Aging and the Life Course, Purdue University, West Lafayette, IN, USA
| | - Olivia Robertson
- Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA
| | - Kristine Marceau
- Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA
| | - Elliot Friedman
- Department of Human Development and Family Studies, Purdue University, West Lafayette, IN, USA
- Center for Aging and the Life Course, Purdue University, West Lafayette, IN, USA
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Orellano-Colón EM, Suárez-Pérez EL, Rivero-Méndez M, Boneu-Meléndez CX, Varas-Díaz N, Lizama-Troncoso M, Jiménez-Velázquez IZ, León-Astor A, Jutai JW. Sex disparities in the prevalence of physical function disabilities: a population-based study in a low-income community. BMC Geriatr 2021; 21:419. [PMID: 34246238 PMCID: PMC8271294 DOI: 10.1186/s12877-021-02362-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 06/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Functional disability continues to be a significant public health problem that increases older adults' vulnerability to experience a diminished quality of life, loss of independence, higher healthcare costs and health services utilization, and increased risks of mortality. Thus, we aimed to study the prevalence of functional disabilities by sex according to the types of daily living activities, controlling for specific sociodemographic variables among older Hispanics from low-income communities. METHODS We used a cross-sectional epidemiological research design, considering a complex sampling design of households to interview adults ≥65 years living in low-income communities in Puerto Rico. Functional disability was measured by the PROMIS® Physical Function Short Form-20 T-score. The selected community was reported to have 5980 adult residents ≥65 years, according to the USA Census. The prevalence of functional disability was estimated using the logistic regression model, weighting by the effect of the sampling. Our estimated prevalence was compared between sexes using the prevalence ratio (PR), which was estimated with logistic regression models, controlling for age, income, number of chronic conditions, high and low impact of chronic conditions in functional disabilities, marital status, and sampling design. RESULTS We recruited 211 older Hispanics from a randomly selected sample. Their mean age was 74.4 ± 7.1 years, with female predominance (57.3%). The overall estimated prevalence of physical function disability using T-score among females was 2.70 (95% CI: 1.4, 5.1) times the estimated prevalence of physical function disability among males. Women were more likely to report functional disabilities in instrumental activities of daily living, self-care activities, and functional mobility compared to males. However, sex differences were largely explained by the presence of musculoskeletal conditions of high impact in functional disability. CONCLUSIONS The females in our study bear the greater burden of physical function disability in their adult age. Health policies, as well as future studies, should be targeted at reducing the burden of physical function disabilities in different types of daily activities through gender-sensitive disability self-management programs.
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Affiliation(s)
- Elsa M Orellano-Colón
- Occupational Therapy Program, School of Health Professions, University of Puerto Rico, Medical Sciences Campus, PO Box 365067, San Juan, PR, 00936-5067, USA.
| | - Erick L Suárez-Pérez
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, USA
| | - Marta Rivero-Méndez
- School of Nursing, University of Puerto Rico Medical Sciences Campus, San Juan, USA
| | - Claudia X Boneu-Meléndez
- Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, USA
| | - Nelson Varas-Díaz
- Global and Sociocultural Studies, Florida International University, Florida, USA
| | - Mauricio Lizama-Troncoso
- Puerto Rico Assistive Technology Program, University of Puerto Rico Central Administration, San Juan, USA
| | | | - Arelí León-Astor
- Office of Environmental Quality, Health, and Occupational Safety, University of Puerto Rico Medical Sciences Campus, San Juan, USA
| | - Jeffrey W Jutai
- Interdisciplinary School of Science, University of Ottawa, Ottawa, Ontario, Canada
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Toth M, Palmer L, Bercaw L, Voltmer H, Karon SL. Trends in the Use of Residential Settings among Older Adults. J Gerontol B Psychol Sci Soc Sci 2021; 77:424-428. [PMID: 33999126 DOI: 10.1093/geronb/gbab092] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES As the U.S. population ages, the prevalence of disability and functional limitations, and demand for long-term services and supports (LTSS), will increase. This study identified the distribution of older adults across different residential settings, and how their health characteristics have changed over time. METHODS A cross-sectional analysis of older adults residing in traditional housing, community-based residential facilities (CBRF), and nursing facilities using three data sources: The Medicare Current Beneficiary, 2008 and 2013; the Health and Retirement Study, 2008 and 2014; and the National Health and Aging Trends Study, 2011 and 2015. We calculated age-standardized prevalence of older adults by setting, functional limitations, and comorbidities, and tested for health characteristics changes relative to the baseline year (2002). RESULTS The proportion of older adults in traditional housing increased over time, relative to baseline (p < 0.05), while the proportion of older adults in CBRF was unchanged. The proportion of nursing facility residents declined from 2002 to 2013 in the MCBS (p < 0.05). The prevalence of dementia and functional limitations among traditional housing residents increased, relative to the baseline year in the HRS and MCBS (p < 0.05). DISCUSSION The proportion of older adults residing in traditional housing is increasing, while the nursing facility population is decreasing. This change may not be due to better health; rather, older adults may be relying on non-institutional LTSS.
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Affiliation(s)
- Matt Toth
- RTI International, Research Triangle Park, NC
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Xiang X, Yang Y, Cheng J, An R. The Impact of Late-Life Disability Spectrum on Depressive Symptoms: A Fixed-Effects Analysis of Panel Data. J Gerontol B Psychol Sci Soc Sci 2021; 76:810-819. [PMID: 32357224 DOI: 10.1093/geronb/gbaa060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES This study examines the impact of a previously validated disability spectrum that accounts for compensatory strategies on depressive symptoms in older adults. METHODS This study was a secondary data analysis of 2011 through 2018 surveys from the National Health and Aging Trends Study (N = 7,609). The disability spectrum was categorized using a 5-level hierarchical scheme: fully able, successful accommodation, reduced activity, difficulty, and assistance for 12 mobility, self-care, and household activities. The individual fixed-effects panel model was used to examine the impact of this disability spectrum on depressive symptoms. RESULTS Depressive symptoms rose progressively with each successive category on the disability spectrum in descriptive analyses. In fixed-effects models, moving from "fully able" to "successful accommodation" was not associated with significant changes in depressive symptoms; this result held for all self-care and mobility activities. Moving from "fully able" to "reduced activity" was associated with a significant increase in depressive symptoms for 3 household activities (doing laundry, making hot meals, and shopping for groceries) but not for paying bills/banking or keeping track of medications. Going up 2 or more stages above "fully able" on the disability spectrum was associated with a significant increase in depressive symptoms across all 12 activities. DISCUSSION While limitations in a range of daily activities have harmful effects on mental health, using compensatory strategies that do not erode one's perception of autonomy can help older adults cope with the psychological detriments of late-life disability.
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Affiliation(s)
- Xiaoling Xiang
- School of Social Work, University of Michigan, Ann Arbor
| | - Yong Yang
- Social and Behavioral Science, School of Public Health, University of Memphis, Tennessee
| | - Jianjia Cheng
- School of Social Work, University of Michigan, Ann Arbor
| | - Ruopeng An
- Brown School, Washington University in St. Louis
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Assistive Device Use among Community-Dwelling Older Adults: A Profile of Canadians Using Hearing, Vision, and Mobility Devices in the Canadian Longitudinal Study on Aging. Can J Aging 2020; 40:23-38. [PMID: 32419685 DOI: 10.1017/s0714980819000692] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
There is increasing recognition that using assistive devices can support healthy aging. Minimizing discomfort and loss of function and increasing independence can have a substantial impact physically, psychologically, and financially on persons with functional impairments and resulting activity limitations, as well as on caregivers and communities. However, it remains unclear who uses assistive devices and how device use can influence social participation. The current analysis used CLSA baseline data from 51,338 older adults between the ages of 45 and 85. Measures of socio-demographic, health, and social characteristics were analyzed by sex and age groups. Weighted cross-tabulations were used to report correlations between independent variables and assistive device use for hearing, vision, and mobility. We found that assistive device use was higher among those who were of older age, had less education, were widowed, had lower income, and had poorer health. Assistive devices were used differently according to sex and social participation, providing insight into assistive device use for the well-being of older adults and their families.
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Freedman VA, Kasper JD. Cohort Profile: The National Health and Aging Trends Study (NHATS). Int J Epidemiol 2020; 48:1044-1045g. [PMID: 31237935 DOI: 10.1093/ije/dyz109] [Citation(s) in RCA: 132] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2019] [Indexed: 11/15/2022] Open
Affiliation(s)
- Vicki A Freedman
- Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
| | - Judith D Kasper
- Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
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Choi JH, Miyamoto Y, Ryff CD. A Cultural Perspective on Functional Limitations and Well-Being. PERSONALITY AND SOCIAL PSYCHOLOGY BULLETIN 2020; 46:1378-1391. [PMID: 32065030 DOI: 10.1177/0146167220905712] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Functional limitations-difficulty in carrying out activities of daily living-have been linked to poorer well-being in Western cultures. This might be partly due to the lower personal control associated with functional limitations. However, compared with the West, in Asian cultural contexts (e.g., Japan) where agency and control are based less predominantly on individual attributes, the link between functional limitations and well-being may be weaker. Using cross-sectional probability samples from the United States and Japan (Study 1), functional limitations were associated with lower well-being in both cultures, though the association was weaker in Japan than in the United States and personal control played a mediating role. Furthermore, analyses of longitudinal data (Study 2) showed the cross-cultural patterns generally consistent with the cross-sectional analyses of Study 1, though the cultural moderation was found for fewer well-being measures. Such findings enrich our understanding of how health status and well-being are related across cultures.
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Newman-Griffis D, Porcino J, Zirikly A, Thieu T, Camacho Maldonado J, Ho PS, Ding M, Chan L, Rasch E. Broadening horizons: the case for capturing function and the role of health informatics in its use. BMC Public Health 2019; 19:1288. [PMID: 31615472 PMCID: PMC6794808 DOI: 10.1186/s12889-019-7630-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 09/16/2019] [Indexed: 12/18/2022] Open
Abstract
Background Human activity and the interaction between health conditions and activity is a critical part of understanding the overall function of individuals. The World Health Organization’s International Classification of Functioning, Disability and Health (ICF) models function as all aspects of an individual’s interaction with the world, including organismal concepts such as individual body structures, functions, and pathologies, as well as the outcomes of the individual’s interaction with their environment, referred to as activity and participation. Function, particularly activity and participation outcomes, is an important indicator of health at both the level of an individual and the population level, as it is highly correlated with quality of life and a critical component of identifying resource needs. Since it reflects the cumulative impact of health conditions on individuals and is not disease specific, its use as a health indicator helps to address major barriers to holistic, patient-centered care that result from multiple, and often competing, disease specific interventions. While the need for better information on function has been widely endorsed, this has not translated into its routine incorporation into modern health systems. Purpose We present the importance of capturing information on activity as a core component of modern health systems and identify specific steps and analytic methods that can be used to make it more available to utilize in improving patient care. We identify challenges in the use of activity and participation information, such as a lack of consistent documentation and diversity of data specificity and representation across providers, health systems, and national surveys. We describe how activity and participation information can be more effectively captured, and how health informatics methodologies, including natural language processing (NLP), can enable automatically locating, extracting, and organizing this information on a large scale, supporting standardization and utilization with minimal additional provider burden. We examine the analytic requirements and potential challenges of capturing this information with informatics, and describe how data-driven techniques can combine with common standards and documentation practices to make activity and participation information standardized and accessible for improving patient care. Recommendations We recommend four specific actions to improve the capture and analysis of activity and participation information throughout the continuum of care: (1) make activity and participation annotation standards and datasets available to the broader research community; (2) define common research problems in automatically processing activity and participation information; (3) develop robust, machine-readable ontologies for function that describe the components of activity and participation information and their relationships; and (4) establish standards for how and when to document activity and participation status during clinical encounters. We further provide specific short-term goals to make significant progress in each of these areas within a reasonable time frame.
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Affiliation(s)
- Denis Newman-Griffis
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA. .,Department of Computer Science and Engineering, The Ohio State University, 2015 Neil Avenue, DL 395, Columbus, OH, 43210, USA.
| | - Julia Porcino
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
| | - Ayah Zirikly
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
| | - Thanh Thieu
- Department of Computer Science, Oklahoma State University, 116-A MSCS, Stillwater, OK, 74078, USA
| | - Jonathan Camacho Maldonado
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
| | - Pei-Shu Ho
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
| | - Min Ding
- Information Technology Laboratory, National Institute of Standards and Technology, 100 Bureau Drive, Gaithersburg, MD, 20899, USA
| | - Leighton Chan
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
| | - Elizabeth Rasch
- Rehabilitation Medicine Department, National Institutes of Health, Mark O. Hatfield Clinical Research Center, 6707 Democracy Boulevard, Suite 856, MSC 5493, Bethesda, MD, 20892, USA
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Peterson LJ, Meng H, Dobbs D, Hyer K. Gender Differences in Mobility Device Use Among U.S. Older Adults. J Gerontol B Psychol Sci Soc Sci 2017; 72:827-835. [PMID: 27495837 DOI: 10.1093/geronb/gbw081] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 06/24/2016] [Indexed: 11/14/2022] Open
Abstract
Objectives Research has shown greater mobility limitations among women than men. We aimed to examine (a) gender differences in the use of canes for mobility and (b) what factors contribute to these differences under the frameworks of the disablement model and the Theory of Planned Behavior. Method Using National Health and Aging Trends Study data, we estimated hierarchical logistic regression models to predict the likelihood of cane use among older adults who completed performance-based measures (n = 5,503). We tested the interactions between gender and selected variables to further understand gender difference. Results In unadjusted analysis, 22% of women and 16% of men used canes. In models adjusted in steps for sociodemographics, health, physical impairments, capacity, psychosocial, and social environment factors, women were progressively less likely to use canes, significantly so at the last step. Suppression effect analyses showed the influence of living alone and receiving mobility help variables. Interaction analyses showed that women reporting poor health or balance were less likely to use canes; obese women were more likely. Discussion Significant gender differences exist in cane use among older community-living adults. Findings suggest that health and function partly account for these differences. Future research is needed to understand social/cultural factors involved.
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Affiliation(s)
- Lindsay J Peterson
- Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa
| | - Hongdao Meng
- Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa
| | - Debra Dobbs
- Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa
| | - Kathryn Hyer
- Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa
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Bakk L, Cadet T, Lien L, Smalley A. Home Modifications among Community-Dwelling Older Adults: A Closer Look at Race and Ethnicity. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2017; 60:377-394. [PMID: 28657880 DOI: 10.1080/01634372.2017.1341444] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study investigated racial and ethnic differences in home modification use. Data from the 2011 National Health and Aging Trends Study were used (n=6,764). Compared with non-Hispanic Whites, Hispanics were less likely to have a grab bar (odds ratio (OR) = 0.6), bath seat (OR = 0.8), or raised toilet (OR = 0.6). Non-Hispanic Blacks were less likely to have a grab bar (OR = 0.7) or bath seat (OR = 0.7) than non-Hispanic Whites, but more likely to have a raised toilet (OR = 1.3). English proficiency largely explained ethnic differences, while health status partially accounted for racial disparities.
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Affiliation(s)
- Louanne Bakk
- a Institute on Innovative Aging Policy and Practice, School of Social Work , University at Buffalo , Buffalo , New York , USA
| | - Tamara Cadet
- b Simmons College , School of Social Work , Boston , Massachusetts , USA
- c Oral Health Policy and Epidemiology, HSDM-Oral Health Policy and Epidemiology , Harvard School of Dental Medicine , Boston , Massachusetts , USA
| | - Laura Lien
- d Chief Education Office, State of Oregon , Salem , Oregon , USA
| | - Angela Smalley
- e Department of Rehabilitation Science, School of Public Health and Health Professions , University at Buffalo , Buffalo , New York , USA
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Frochen S, Mehdizadeh S. Functional Status and Adaptation: Measuring Activities of Daily Living and Device Use in the National Health and Aging Trends Study. J Aging Health 2017; 30:1136-1155. [DOI: 10.1177/0898264317707299] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: The objective of this study is to evaluate the functional status and adaptation of older Americans and discover the factors that contribute to device use. Method: Using the community participants’ portion of the first round of National Health and Aging Trends Study (NHATS), we demonstrate the prevalence of device use and reduction in activities, creating a multilevel measure of activities of daily living (ADL) functionality as compared with Katz’s dichotomous measure. In determining whether adaptation is universal irrespective of age, sex, race, living arrangement, and income, or dependent on these variables, we create a measure of device use, performing a path analysis of the device use measure and sociodemographic variables, with disability score as an intervening measure. Results: ADL functionality becomes more nuanced between the Katz-ADL and NHATS-ADL. Age, sex, and living arrangement were predictors of device use; income was indirectly, whereas race was not. Discussion: When assessors design service plans, consideration should be given to older adults’ ability, capacity, and resources to adapt.
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Orellano-Colón EM, Rivero-Méndez M, Lizama M, Jutai JW. Assistive technology unmet needs of independent living older Hispanics with functional limitations. Disabil Rehabil Assist Technol 2017; 13:194-200. [PMID: 28326905 DOI: 10.1080/17483107.2017.1300693] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE To identify: (1) the most frequently used assistive technology (AT) by a sample of community-living older Hispanics; (2) their AT needs; (3) the AT that would not be used by the simple; and (4) the factors associated with the willingness to use AT. MATERIALS AND METHODS We used a cross-sectional descriptive study design with a purposive sample of 60 individuals 70 years and older living in Puerto Rico. Data collection tools included a socio-demographic questionnaire and the Assistive Technology Card Assessment. We used descriptive statistics to identify the sample AT use and needs, χ2 to determine the frequency distribution of the socio-demographic variables and the Spearman's rank correlation coefficient (rho) to describe the strength of the association between these variables and the willingness to use AT devices. RESULTS The sample had unmet needs for AT devices for cooking, home tasks and home safety. A higher number of health conditions as well as having low educational levels were associated with willingness to use AT devices. CONCLUSIONS Policy implications are discussed supporting the role of rehabilitation professionals, state government and community-based programmes, including the Area Agencies on Aging, in providing culturally relevant AT education and accessibility to assistive devices. Implications for rehabilitations Hispanic older adults with functional limitations living independently in Puerto Rico have unmet needs for AT devices to compensate for physical limitations and increase safety performance, predominantly in instrumental activities of daily living. New policies need to be developed to advocate for increased healthcare coverage of low tech AT devices that could be highly beneficial to older people with functional limitations. Community-based programs administered by the state government, the Area Agencies of Aging, or operated through Medicare need to be developed to provide education, training, loans, purchasing, and delivery of low AT devices that can compensate for older people functional limitations.
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Affiliation(s)
- Elsa M Orellano-Colón
- a Occupational Therapy Program, School of Health Professions , Medical Sciences Campus, University of Puerto Rico , San Juan , Puerto Rico.,b Puerto Rico Assistive Technology Program, Research and Technology Vice-Presidency , San Juan , Puerto Rico
| | - Marta Rivero-Méndez
- c School of Nursing, Medical Sciences Campus, University of Puerto Rico , San Juan , Puerto Rico
| | - Mauricio Lizama
- b Puerto Rico Assistive Technology Program, Research and Technology Vice-Presidency , San Juan , Puerto Rico
| | - Jeffrey W Jutai
- d Faculty of Health Sciences , University of Ottawa , Ottawa , ON , Canada
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Garçon L, Khasnabis C, Walker L, Nakatani Y, Lapitan J, Borg J, Ross A, Velazquez Berumen A. Medical and Assistive Health Technology: Meeting the Needs of Aging Populations. THE GERONTOLOGIST 2017; 56 Suppl 2:S293-302. [PMID: 26994268 DOI: 10.1093/geront/gnw005] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE OF THE STUDY To identify policy gaps in the delivery and availability of assistive health technology (AHT) and medical devices (MD) for aging populations, particularly in low- and middle-income countries (LMICs). DESIGN AND METHODS The findings presented in this paper are the results of several narrative overviews. They provide a contextual analysis of the conclusions and evidence from WHO commissioned research and expert consultations in 2013 and 2014, as well as a synthesis of literature reviews conducted on AHT and MD. RESULTS Practical, life-enhancing support for older people through AHT, MD, and related health and social services is a neglected issue. This is particularly so in LMICs where the biggest increases in aging populations are occurring, and yet where there is commonly little or no access to these vital components of healthy aging. IMPLICATIONS Health technologies, especially medical and assistive health technology, are essential to ensure older people's dignity and autonomy, but their current and potential benefits have received little recognition in LMICs. Viewing these technologies as relevant only to disabled people is an inadequate approach. They should be accessible to both older adults with disabilities and older adults with functional limitation. Many countries need much greater official awareness of older adults' needs and preferences. Such attitudinal changes should then be reflected in laws and regulations to address the specificities of care for older people.
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Affiliation(s)
- Loïc Garçon
- World Health Organization Centre for Health Development, Kobe, Japan.
| | | | | | | | - Jostacio Lapitan
- World Health Organization Centre for Health Development, Kobe, Japan
| | - Johan Borg
- Department of Health Sciences, Lund University, Malmö, Sweden
| | - Alex Ross
- World Health Organization Centre for Health Development, Kobe, Japan
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Orellano-Colón EM, Jutai J, Santiago A, Torres V, Benítez K, Torres M. Assistive Technology Needs and Measurement of the Psychosocial Impact of Assistive Technologies for Independent Living of Older Hispanics: Lessons Learned. TECHNOLOGIES 2016; 4:21. [PMID: 27695688 PMCID: PMC5045238 DOI: 10.3390/technologies4030021] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
(1) Knowledge about the assistive technology (AT) needs and psychosocial impact of AT in different populations is needed because the adoption, retention, or abandonment of AT may be influenced by the psychosocial impact that AT has on its users. The aims of this study were to: (a) identify the AT needs of a sample of Hispanic older adults with functional limitations, (b) describe the psychosocial impact of these technologies on the sample's quality of life, and (c) describe the methodological challenges in using the Puerto Rican version of the Psychosocial Impact of Assistive Device Scale (PR-PIADS) with a Hispanic sample. (2) Methods: This study used a cross-sectional design conducted with a sample of 60 participants. Data was collected using the Assistive Technology Card Assessment Questionnaire (ATCAQ) and the PR-PIADS. Data analyses included descriptive statistics and bivariate analysis. (3) Results: The sample's most frequently reported needs for AT devices were in the areas of cooking, home tasks, and home safety activities. The sample reported a positive impact of AT use in their quality of life. Several methodological challenges of the PIADS were identified. (4) Conclusions: The sample has unmet needs for using AT devices to overcome difficulties in daily living activities.
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Affiliation(s)
- Elsa M. Orellano-Colón
- Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
- Puerto Rico Assistive Technology Program, Office of the Vice President for Research and Technology, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
| | - Jeffrey Jutai
- Interdisciplinary School of Health Sciences, University of Ottawa, 25 University St., Ottawa, K1N 6N5, Ontario, ON, Canada
| | - Angélica Santiago
- Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
| | - Víctor Torres
- Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
| | - Keyla Benítez
- Occupational Therapy Program, School of Health Professions, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
| | - Mayra Torres
- Puerto Rico Assistive Technology Program, Office of the Vice President for Research and Technology, University of Puerto Rico, San Juan, PR 00926-1117, Puerto Rico
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Teixeira-Gasparini E, Partezani-Rodrigues R, Fabricio-Wehbe S, Silva-Fhon J, Aleixo-Diniz M, Kusumota L. Uso de tecnologías de asistencia y fragilidad en adultos mayores de 80 años y más. ENFERMERÍA UNIVERSITARIA 2016. [DOI: 10.1016/j.reu.2016.06.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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