Objective: To assess the effects of a rehabilitation service package designed by the State Welfare Organization of Iran for adult day care centres on the disability of older clients. Methods: A case-control study, with 46 older participants in the case group and 46 participants, matched for level of disability, in a control group. The World Health Organization Disability Assessment Schedule 2 was used to collect data at 4 time-points: baseline and 2, 4, and 6 months later. Data were analysed using repeated-measures analysis of variation. Results: The rehabilitation service package had significant effects on the disability scores of older users of day care services. The disability scores significantly changed within the subjects (p = 0.010) and between the 2 groups (p < 0.001). Within-subjects effects in all 6 domains ("understanding and communication" (p = 0.002), "getting around" (p = 0.046), "self-care" (p < 0.001), "getting along with people" (p < 0.001), "life activity" (p < 0.001) and "participation" (p < 0.001)) and between-subjects effects, in all except the "self-care" domain, showed significant differences during the 6-month study period (p = 0.003, p < 0.001, p <0.001, p < 0.001, and p < 0.001, respectively). Conclusion: The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.
Objective: This study explored disability and its correlations with the environmental factors in a group of Iranian older adults.
Materials and Methods:A cross sectional study was performed. One hundred participants receiving adult day care services in Kahrizak center in Iran were selected by using the complete enumeration method. The World Health Organization Disability Assessment Schedule 2 (WHODAS II) and the Craig Hospital Inventory of Environmental Factors (CHIEF) questionnaires were used to collect data.
Results:The mean score of disability was 20.61±13.66, and the scores were higher in women compared to men (P=0.001). Among the CHIEF-25 items‚ the most frequently perceived barrier by the participants was transportation followed by home design and unavailability of health care services. There was a significant association between the disability scores and the environmental factors (P<0.001). Also, significant relationships were found between the disability and all the subscales investigated in the study (polices‚ physical/structural‚ attitude/support‚ services/assistance) (P<0.001).
Conclusion:Appropriate transportation‚ availability to health care services and removing physical/structural barriers should be taken in consideration.
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