Associations among occupational roles, independence, assistive technology, and purchasing power of individuals with physical disabilities

Cruz, Daniel Marinho Cezar da; Emmel, Maria Luísa Guillaumon

doi:10.1590/s0104-11692013000200003

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…We examined whether the use of AT could improve participation in social activities, but our results indicate no statistically significant differences between users and non-users. This contrasts with studies that have found that AT use improves social engagement 1,5 , but it is similar to another study that found that assistive devices in Brazil did not improve independence 21 . As highlighted in a systematic review of studies addressing the use of walking devices and social participation, AT use only seems to facilitate social participation and engagement when users integrate them into their everyday lives 1 .…”

Section: Discussioncontrasting

confidence: 60%

Factors associated with use of assistive walking devices among older adults in Brazil

et al. 2021

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Background Walking devices and other forms of assistive technology (AT) can benefit older adults by supporting mobility and social interactions, but usage outside of high-income countries is generally low. Objective To examine the factors associated with AT use and whether AT use is associated with higher levels of social participation among older adults in Brazil. Method The 2013 Brazilian National Health Survey interviewed 23,815 individuals 60 years or older. Descriptive and logistic regression analyses were used to examine AT use, including canes and walkers, to assist with walking and social participation. Results Among older adults with mobility difficulty, 34.0% (95% CI 31.2- 36.9) reported using AT. Prevalence of the use of AT for walking increases with age: 21.4% of those 60-69 years reported using AT while 58.5% of those 90 years or older did. AT was negatively associated with participation in social activities. Conclusion Our analyses focused on older adults with mobility limitations who need appropriate transportation and environment adaptations to engage socially. Contrary to studies in more developed countries, among Brazilians, AT use is negatively associated with social interactions. The resulting confinement seems to lead to social isolation.

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Section: Discussioncontrasting

confidence: 60%

Factors associated with use of assistive walking devices among older adults in Brazil

et al. 2021

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“…Functional capacity is extremely important for the realization of various roles in society and for the improvement of quality of life (20)(21) . A research conducted with patients after the first CVA emphasizes the importance and proposes a model of care to the patient that goes from hospitalization to a plan of discharge; home care, referring to the assistance by the Family Health Strategy (FHS); informal care, involving the action of the family and other who take care of the patient; and self-care, which includes educational strategies so that dependence is minimized until independence is achieved (9) .…”

Section: Discussionmentioning

confidence: 99%

Functional capacity and social support to people affected by cerebrovascular accident

et al. 2019

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Objective: To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident. Methods: Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument – the Barthel Index and the Social Support Scale. Results: We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support. Conclusion: The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.

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“…The scale ranges from zero (0) to 100, whereby 0 means total dependence and 100 complete independence in the assessed dimensions. In the literature, different cut-off scores have been defined as indicators for interventions or for the identification of a risk [19,20]. The subject of this study was the BI according to the Hamburg Classification Manual.…”

Section: Introductionmentioning

confidence: 99%

Is the Barthel Index an Adequate Assessment Tool for Identifying a Risk Group in Elderly People Living at Home?

Schulc¹,

Pallauf²,

Muêller³

et al. 2015

Int J Nurs Clin Pract

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Background: The aim of this study was to determine whether or not the Barthel Index (BI) is an adequate basic assessment tool to identify a risk group in people aged 70+ living at home whose capacity for independent living is at risk. Methods: A multidimensional nursing assessment was performed on 344 people aged 70+ living at home in Austria, using the Barthel Index to rate activities of daily living and other functional health indicators. Instead of categorizing the total BI scores (TS) into four groups, the sample was divided into two groups: independent older people (TS 85-100 pts.) and non-independent older people (TS 0-80 pts.). The division into two groups is based on the assumption that independent living at home is virtually impossible with a TC of 0-80 pts. However, people aged 70+ who are completely independent or only partly in need of care are certainly able to live an independent life. The strength of the association between an independent or non-independent lifestyle and functional health impairments was measured by means of odds ratios with a 95% confidence interval. Results: The BI classified 76.8% of the 70+-year-olds (n=265) as independent. In comparison to the independent group, the non-independent group (n=79, 22.8%) had significantly more health-related problems in all assessed dimensions (e.g. TS of the IADL Index [0-7 pts.] (OR 1.4, 95% CI [1.31, 1.53]), dissatisfaction with general health status (OR 5.1, 95% CI [2.99, 8.71]), and falls during the last year (OR 2.9, 95% CI [1.69, 4.88]). Conclusion: Categorization of the BI was able to identify a risk group and can provide a solid basis for target-group-specific support planning in the field of home-based primary care in Austria under due consideration of biopsychosocial conditions.

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Associations among occupational roles, independence, assistive technology, and purchasing power of individuals with physical disabilities

Cited by 10 publications

References 8 publications

Factors associated with use of assistive walking devices among older adults in Brazil

Factors associated with use of assistive walking devices among older adults in Brazil

Functional capacity and social support to people affected by cerebrovascular accident

Is the Barthel Index an Adequate Assessment Tool for Identifying a Risk Group in Elderly People Living at Home?

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