Constructing and identifying predictors of frailty among homeless adults—A latent variable structural equations model approach

Salem, Benissa E.; Nyamathi, Adeline; Brecht, Mary‐Lynn; Phillips, Linda R.; Mentes, Janet C.; Sarkisian, Catherine A.; Stein, Judith A.

doi:10.1016/j.archger.2013.09.005

Cited by 10 publications

(4 citation statements)

References 57 publications

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“…Prefrailty did not relate to lower resilience scores and vice versa in this study. This is opposite to Salem et al (2014), who found an association using the Resilience Scale of Wagnild and Young (1993) and frailty as a latent construct combining physical, psychological, and social domains. Also, similar to the study of Freitag and Schmidt (2016), psychological resilience could be withheld as a protective factor for frailty in community-dwelling older individuals.…”

Section: Discussioncontrasting

confidence: 90%

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Costenoble

Rossi²,

Knoop

et al. 2021

Int. Psychogeriatr.

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Objectives: Understanding of prefrailty’s relationship with limitations in activities of daily living (ADLs) moderated by psychological resilience is needed, as resilience might support ADLs’ maintenance and thus protect against frailty. Therefore, this study aims to analyze the influence of psychological resilience (using the Connor–Davidson Resilience Scale; CD-RISC) on the relation between ADLs and frailty status of older individuals (i.e. prefrail versus robust). Design: Cross-sectional design. Setting: UZ Brussels, Belgium. Participants: Robust (Fried 0/4;n = 214; Age = 82.3 ± 2.1yrs) and prefrail (Fried 1-2/4; n = 191; Age = 83.8 ±3.2yrs) community-dwelling older individuals were included. Measurements: Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total Disability Index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Mediation was investigated by estimating direct and indirect effects of all levels of ADLs and CD-RISC total score on prefrailty/robustness using a stepwise multiple regression approach. Results: Prefrailty/robustness significantly correlated with a-ADL-DI (point-biserial correlation (rpb) = 0.098; p<0.05). Adjusted for age and gender, the a-ADL-DI (p<0.05) had a significant protective direct effect against prefrailty. No effects were found with the CD-RISC total score. Conclusions: Less limitation in a-ADLs is a directly correlated factor of prefrailty and might represent a higher likelihood of robustness.

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Section: Discussioncontrasting

confidence: 90%

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Costenoble

Rossi²,

Knoop

et al. 2021

Int. Psychogeriatr.

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“…Psychological symptoms are also important factors associated with pathological aging beyond cognitive impairment [20,22] including negative affect, anxiety, sadness, depressive symptoms [20] and subjective well-being [23,24]. Educational level is another characteristic that has been shown to play an important role in research, as longer periods of schooling have been associated with possession of greater personal resources to deal with risk situations [12,20,25,26].…”

Section: Introductionmentioning

confidence: 99%

Dual-task performance in old adults: cognitive, functional, psychosocial and socio-demographic variables

et al. 2021

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Background Dual tasking, or the ability to executing two tasks simultaneously, has been used in recent research to predict cognitive impairments, physical frailty, and has been linked with cognitive frailty in old adults. Aim This study aimed to determine age-related variables can predict dual-task (DT) performance in the older population. Methods A total of 258 healthy community-dwelling participants + 60 years were assessed in relation to their functional capacity, health, well-being, social support and years of education. Performance of a cognitive (Fluency) task and a cognitive–motor (Tracking) task was recorded under single and DT conditions. Multiple linear regression analysis was carried out for each dependent variable, in separate models including cognitive, functional and psychosocial variables. Results Performance in Fluency in DT conditions was predicted by cognitive variables, whereas performance in Tracking DT conditions was predicted by positive interaction, health status, age and motor variables. Discussion The findings suggest that a wide range of cognitive, psychological, social, physical and functional variables influence cognitive and motor performance in aging. Conclusion DT methodology is sensitive to different age-related changes and could be related to frailty conditions in aging.

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“…The need for proper nutrition and care increases with older-age, as well as the need for adequate and safe residential conditions (Johnson and McCool 2003;Abbott and Sapsford 2005). Older homeless adults, especially older women and transgender individuals, are also more likely to be prone to being victims of crime (Cohen et al 1992;Salem et al 2014;Grenier et al 2016b). While older homeless individuals are more vulnerable to diseases, health services are difficult to access for this group.…”

Section: Homelessness In Older-age and Multidimensional Social Exclusionmentioning

confidence: 99%

Homelessness Trends in Ageing Literature in the Context of Domains of Social Exclusion

Korkmaz-Yaylagul

Bas

2021

International Perspectives on Aging

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Homelessness in later life is closely related to social exclusion and can cause further disadvantages in later life. This chapter explores the relationship between studies on older adult homelessness and the domains of social exclusion. A structure review process, in the form of a summative content analysis and a social network analysis, of all geriatrics and gerontology journals published in English was conducted. This review led to the identification of 59 articles on homelessness in older age as the research sample for this chapter. The patterns that emerged from summative content analysis and the social network analysis are visualised using GEPHI software. Our findings reveal the multidimensional aspects of old-age exclusion in the homelessness literature, and how homelessness can be a significant determinant of interrelated sets of disadvantages. Exclusion from services, amenities, and mobility and community and neighbourhood, and material and financial resources are the domains represented most in homelessness studies in the ageing literature. However, civic participation and socio-cultural aspects of social exclusion were partly ignored within this body of work.

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Constructing and identifying predictors of frailty among homeless adults—A latent variable structural equations model approach

Cited by 10 publications

References 57 publications

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Dual-task performance in old adults: cognitive, functional, psychosocial and socio-demographic variables

Homelessness Trends in Ageing Literature in the Context of Domains of Social Exclusion

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