Changes Over Time in Long-Term Care Use, ADL and IADL Among the Oldest-Old Participants of the Aging in Manitoba Longitudinal Study

Abstract

RÉSUMÉVers 2031, les personnes les plus âgées (85 ans et plus) pourraient composer 4 pourcent de la population totale du Canada. Ce document relève les changements constates dans le domaine de l'utilisation des soins de longue durée, des activités de la vie quotidienne (AVQ) et des activités instrumentales de la vie quotidienne (ATVQ) chez les participants les plus âgés du Aging in Manitoba Longitudinal Study, d'après trois éléments répartis sur 13 ans. Parmi les participants, 38,4 pour cent n'avaient pas eu recours aux soins de longue durée pendant la période examinée; entre 75 et 88 pour cent des participants pouvaient continuer à manger, à se déplacer dans leur maison et à se mettre au lit et à en sortir sans aide. En ce qui a trait aux activités instrumentales de la vie quotidienne, la proportion des gens qui n'avait pas besoin d'aide allait de 3 pour cent (réparations dans la maison) à 58 pour cent (se préparer une tasse de thé ou de café). Les résultats de ces analyses signalent l'hétérogénéité des aptitudes fonctionnelles des personnes très âgées et viennent enrichir la documentation portant sur cette tranche de la population.

Activities of daily living (ADL) and instrumental activities of daily living (IADL) items were stable over time in a longitudinal study on aging

“…Six hundred and sixteen AIM Study participants met these criteria. Further details of this subsample are published elsewhere [8,9]. Nine of these 616 individuals were excluded from the present study because of one or more missing data points for variables of interest, leaving a sample size for analysis of N ϭ 607.…”

“…The indicators used in the AIM were developed specifically for the study, but substantially influenced by the work of others, as described by Finlayson and Havens [8]. The ADL and IADL activities included in the AIM (Table 1) are similar to earlier instruments, but additional items were added and new response scales were developed to reflect the study's purpose and its focus on both community-dwelling and institutionalized older adults.…”

Exponential Increases in the Prevalence of Disability in the Oldest Old: A Canadian National Survey

“…To our knowledge, the only study that has reported on disability prevalence for oldest old Canadians is the Aging in Manitoba Longitudinal Study [11]. It was conducted more than 10 years ago and focused on Manitoba, which is only one of ten Canadian provinces.…”

Integrating a Performance-Based Observation Measure of Functional Status into a Population-Based Longitudinal Study of Aging

“…The AIM study design has been previously presented in the literature (Chipperfield, Havens, & Doig, 1998, Mossey, Havens, Roos, & Shapiro, 1981Finlayson & Havens, 2001;Finlayson, 2002). In brief, it is a population-based, longitudinal-panel study that includes three panels of participants, who entered the study at three different times and then were followed over time.…”

“…Throughout the history of the study, participants have self-reported their abilities to perform both ADL and IADL tasks. Descriptions of the ADL and IADL measures from the AIM and of their development have been provided elsewhere (Finlayson & Havens;Chappell, 1981).…”