Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority

Ran, Lingyun; Jiang, Xiaodong; Li, Baogang; Kong, Hongqian; Du, Mengqi; Wang, Xiaolan; Yu, Hua; Liu, Qin

doi:10.1186/s12877-017-0455-y

Cited by 53 publications

(51 citation statements)

References 25 publications

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“…Most of the previous studies found that lower education [9,11], increased age [10,11], and multimorbidity [3,16,17] were related to poor functional ability. Meanwhile, the role of social capital in elderly health have been noted from multiple studies [22,46].…”

Section: Discussionmentioning

confidence: 98%

“…found that the prevalence of functional disability among older people ranged from 16.2% in China to 55.7% in India [8].Greater attention has been paid to exploring the correlates concerning the health and well-being of older adults [9]. Previous studies from China and abroad have both found that advanced age [10,11], frailty [12,13], depression [14] underweight or obesity, physical inactivity, a poor self-rated health, less engagement in level social activities, and pain [15] were most commonly associated with the incidence of ADL or IADL disability. Furthermore, many studies have identified that comorbidity accelerated the decline of functional ability of the elderly [3,11].…”

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confidence: 99%

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Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China

Bai

Wang

Shao

et al. 2020

IJERPH

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This study aimed to explore the relationship between individual social capital and functional ability, with a focus on whether there is an interactive relationship that exists among social capital related to functional ability among older people in Anhui province, China. We conducted a cross-sectional study with a multi-stage stratified cluster random sampling method from July to September 2017. Data were collected through questionnaire including demographic characteristics, individual social capital status, and functional capability status. Binary logistic regression analysis model and classification and regression tree model (CART) were utilized. Overall, this study included 1810 elderly people, 43% of whom had functional disability. After the adjustment, subjects with lower social participation (AOR = 1.60; 95% CI: 1.26–2.03) and lower social connection (AOR = 1.74; 95% CI: 1.34–2.25) had an increased risk of functional disability. However, social support (AOR = 0.73; 95% CI: 0.57–0.94) was inversely related to functional ability. We also observed interactive relationship of social capital associated with functional ability, which indicated that special attention and efforts should be paid to older adults with less educational attainment, with multimorbidity, with advanced age, and with lower level of social participation, cohesion for the purpose of maintaining sound functional ability. Our findings may be of salient relevance for devising more targeted and effective interventions to prevent the onset of functional limitations among community-dwelling older adults.

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Section: Discussionmentioning

confidence: 98%

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confidence: 99%

Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China

Bai

Wang

Shao

et al. 2020

IJERPH

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“…The Lawton IADL is an appropriate instrument with eight categories to assess independent living skills [33]. It has been used and proven in the Chinese population with a satisfactory Cronbach's alpha of 0.739 [34]. The SSRS was developed in China and is widely used with high validity (Cronbach's alpha 0.83 to 0.90) and reliability (test-retest reliability 0.92) [35,36].…”

Section: Functional Ability: This Outcome Will Be Measuredmentioning

confidence: 99%

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Lin

Xiao

Chamberlain

2020

Trials

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Background: Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care. Methods: This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as "participant dyads", and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcome is changes in self-efficacy of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors' and quality of life, functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers' self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline. Discussion: This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.

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“…IADL were measured by employing the Instrumental Activities of Daily Living Scale (IADL) (5), which includes a range of higher-level activities that are considered to address the older adult's capacity to interact with his or her community (10). The scores of this scale range from 0 to 8, with 0 being the least independent and 8 being the most independent in the eight-item scale (5,11,12).…”

Section: Measurement Instrumentsmentioning

confidence: 99%

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

Liu

Jiao

Zhu

et al. 2020

Preprint

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Background: Older adults are vulnerable to a decline in physical functioning, including basic activities of daily living (ADL) and higher-level instrumental activities of daily living (IADL). The causes of functional disability in older adults are multifactorial. A comprehensive understanding of these factors will contribute toward future health service planning. However, studies of ADL and IADL in Chinese older adults are insufficient. The aim of this study is to describe the level of ADL and IADL in different age groups and explore the factors associated with functional disability in Chinese older inpatients. Methods: We conducted a cross-sectional study consisted of 9,996 Chinese older inpatients aged 65 years and older. Participants were recruited from six provinces or municipality city in southwest (Sichuan province), northeast (Heilongjiang), south central (Hubei province), northern (Beijing municipality city), northwest (Qinghai province), and eastern China (Zhejiang province) from October 2018 to February 2019. The levels of ADL and IADL were measured by scores of the Barthel index and Instrumental Activities of Daily Living Scale in consecutive intervals from 65 years of age. After controlling for the cluster effect of hospital wards, a mixed-effect generalized linear model was used to examine the association between functional disability and covariates. Results: The average ADL score was 27.68±4.59 and the mean IADL score 6.76±2.01 for all participants. A negative correlation between scores and age was observed, and there was a significant difference in ADL and IADL scores among different age groups. The top negatively influential factor in ADL and IADL was stair climbing and shopping, respectively. After controlling for the cluster effect of hospital wards, aging, emaciation, frailty, depression, falling accidents in past 12 months, hearing dysfunction, cognitive dysfunction, urinary dysfunction, and defecation dysfunction were associated with ADL and IADL. Patients transitioned from the emergency department and other hospitals were also affected by ADL disability. Former smoking was associated with lower IADL scores. Higher level of education, living in a building without elevators, and current alcohol consumption were correlated with better IADL performance. Conclusion: Decreased functional ability was associated with the increasing age. Sociodemographic characteristics (such as age), physical health variables (frailty, emaciation, hearing dysfunction, urinary dysfunction, defecation dysfunction, falling accidents in past 12 months), and mental health variables (cognitive dysfunction, depression) were associated with functional disability. These findings potentially have major importance for the planning of hospital services, discharge planning, and post-discharge care.

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Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority

Cited by 53 publications

References 25 publications

Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China

Relationship between Individual Social Capital and Functional Ability among Older People in Anhui Province, China

A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Potential associated factors of functional disability in Chinese older inpatients: A multicenter cross-sectional study

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