A Call for Interfacing Measures of Instrumental Activities of Daily Living Across the Transition of Care

Koyfman, Irina; Finnell, Deborah S.

doi:10.1097/nhh.0000000000000715

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The ability to maintain functional status has been shown to be an essential aspect of self-care for older adults. The IADLs are often overlooked, underassessed, and underreported, and the Lawton and Brody scale to measure IADLs has been described to be an ideal standard practice [ 9 ]. The number of people ≥65 years is increasing and the association of PA with ADL and with IADL seems to be relevant in planning future PA interventions with the goal of improving daily life in old people.…”

Section: Introductionmentioning

confidence: 99%

Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians

Crevenna

Dörner

2019

Wien Klin Wochenschr

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Summary Aim The aim of the study was to describe the association between fulfilling the recommendation for health-enhancing physical activity (PA), and deficits in activities of daily living (ADL) and instrumental activities of daily living (IADL) in 3308 subjects aged 65+ years from the Austrian Health Interview Survey 2014. Methods The proportion of subjects who fulfilled the minimal recommendations for health-enhancing PA was assessed with the Physical Activity Questionnaire of the European Health Interview Survey (EHIS-PAQ). The ADLs were assessed based on the Barthel index, and IADLs by the IADL scale of Lawton and Brody. Additionally, various sociodemographic and health-related factors were assessed. Results Of the participants 54.7% did not fulfil the minimal requirements for aerobic PA, and 67.1% not for muscle strengthening PA, 16.4% reported ADL deficits, and 47.1% IADL deficits. Adjusted for sociodemographic and health-related parameters, not fulfilling the recommendations for aerobe PA was associated with a higher chance for ADL deficits (odds ratio, OR 1.73, 95%-confidence interval 1.36–2.21), and IADL deficits (1.57; 1.34–1.84). Not fulfilling the recommendations for muscle strengthening PA also increased the chance for ADL and IADLs deficits (1.34; 1.04–1.72, and 1.29; 1.09–1.53, respectively). Conclusion The number of participants who did not fulfil the minimal requirements for aerobic or strengthening PA was very high, and these participants showed significantly more problems in ADLs and IADLs. Therefore, all future efforts should focus on increasing participation and adherence in exercise programs for older people with the intention to improve their performance status and functions in daily life.

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Section: Introductionmentioning

confidence: 99%

Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians

Crevenna

Dörner

2019

Wien Klin Wochenschr

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“…These data were collected to characterise the sample and identify factors that may be shaping caregivers' experiences that could be explored in the interview. The scales are widely used to assess functioning in people with dementia and have established validity and reliability (Lawton and Brody, 1969;Graf, 2008;Koyfman and Finnell, 2019).…”

Section: Data Collectionmentioning

confidence: 99%

A narrative inquiry into how oldest-old care-givers of people with dementia manage age-related care-giving challenges

Arbel,

Cameron,

Trentham

et al. 2023

Ageing and Society

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Oldest-old (age 80+) spousal care-givers of people with dementia experience unique challenges and concerns that they attribute to age and/or ageing, including difficulties providing care because of physical, cognitive or sensory decline; having fewer friends who can provide practical support; and having less energy for non-care-giving activities (e.g. leisure activities, self-care). Previous research on how older care-givers manage is not specific to oldest-old care-givers and may underrepresent their unique experiences managing age and ageing-related challenges. A limited understanding can compromise our ability to tailor services to ageing care-givers. The purpose of this research was to illuminate how oldest-old spousal care-givers of people with dementia manage ageing-related care-giving challenges and the barriers and facilitators to strategy use. The selective optimisation with compensation theory and the transactional theory of stress and coping informed our conceptualisation of management strategies. We used a narrative gerontology approach, with two or three semi-structured interviews with 11 care-givers aged 80–89 (25 interviews in total). Narrative data were analysed thematically. We identified four main themes that encompassed the strategies shared by care-givers: adjusting goals to lessen care-giving demands and to mitigate stress, using alternative means to reach goals and to mitigate stress, enhancing capacities to care and mitigate stress through engagement in non-care-giving activities, and choosing positive attitudes and perspectives to lessen emotional distress. We identified a myriad of facilitators and barriers to strategy utilisation in each theme. The study provides unique insight into care-givers' management strategies, especially in relation to relocation of self and spouse and participation in non-care-giving activities, as well as insight into age-related facilitators and barriers. This research can ultimately help inform the tailoring of age-sensitive health and social care services to meet the needs of this group of care-givers as they age.

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A Call for Interfacing Measures of Instrumental Activities of Daily Living Across the Transition of Care

Cited by 2 publications

References 18 publications

Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians

Association between fulfilling the recommendations for health-enhancing physical activity with (instrumental) activities of daily living in older Austrians

A narrative inquiry into how oldest-old care-givers of people with dementia manage age-related care-giving challenges

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