This study aimed to identify distinct trajectories of activities of daily living (ADL) disability in older adults aged ≥75 years over 6 years. A growth mixture model and the multinomial logistic regression analysis were used to identify different disability trajectories and to investigate each trajectory. Four distinct disability trajectories were identified: low, moderate, high, and progressive. Activity restriction due to fear of falling, being underweight, impaired vision, and impaired cognition were highly associated with the progressive groups, compared with the low disability group. Activity restriction due to fear of falling, depression, impaired cognition, and poor subjective health status were associated with moderate and high disability. These findings contribute to increasing the understanding of ADL disability among older adults.

Aim This study examined the effects of the fear of falling (FOF) alone and fear‐associated activity restriction (FAR) on future activities of daily living (ADL) disability and analysed predictors of ADL disability among community‐dwelling older people with and without FAR. Design This prospective study involved secondary data analysis of the Korean Longitudinal Study of Aging. Methods We obtained data from 5074 community‐dwelling older adults. Generalized estimating equations were used to identify the predictors of changes in ADL disability between 2008 and 2018. Results Compared with FOF alone, FAR was significantly related to changes in ADL disability. Being older, living with others and having poor self‐rated health status were associated with future ADL disability in participants without FAR. Weakened grip strength and social engagement were associated with future ADL disability in those with FAR. Nurses must consider the impact of FAR on future ADL decline and implement tailored interventions. Patient or Public Contribution No Patient or Public Contribution.

Purpose: The objectives of this study were to identify the types of recovered alcoholics based on the factors that influence recovery, using the Q methodology.Methods: Forty-six statements were selected from in-depth interviews with eight psychiatric healthcare professionals and four abstinent alcoholics and literature review. Then, 50 participants sorted these statements in a forced grid with normal distribution from -4 to 4. Finally, factor analysis was performed with the PC-QUANL program.Results: Three types of recovered alcoholics were identified. Firstly, the ‘positive-centered recovery type’ emphasized on self-affirmation and self-confidence and acted on the belief of the possibility of recovery from alcoholism. The second type was the ‘temperance-centered recovery type’, which focused on complete control over daily life to stay sober. Finally, the ‘acceptance-centered type’ was likely to admit the weakness of human beings and pursue spirituality.Conclusion: This study found three types of recovered alcoholics, focusing on the factors that had an impact on recovery and analyzed their characteristics. These findings provided useful information to understand recovered alcoholics, and they can be used to develop a tailored intervention to prevent a relapse of alcoholism.