Disability trajectories and associated disablement process factors among older adults in Taiwan

Yu, Hsiao-Wei; Chen, Duan‐Rung; Chiang, Tung Liang; Tu, Yu‐Kang; Chen, Ya‐Mei

doi:10.1016/j.archger.2014.12.005

Cited by 44 publications

(47 citation statements)

References 48 publications

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“…At hospitalization, the greatest changes were observed in "self-care", "mobility" and "locomotion" dimensions. Similar results were also found in research evaluating functional independence of elderly people who fell in Canada, Spain, and Taiwan (15)(16) .…”

Section: Discussionsupporting

confidence: 85%

Functional independence of elderly patients who fell: a follow-up study

Sá

Santos

2019

Rev. Bras. Enferm.

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Objective: to evaluate, in emergency hospital service and at home, the functional independence of elderly people who fell. Method: longitudinal study with 151 elderly. Functional Independence Measure (FIM) was used. Statistical tests were performed with univariate and bivariate analysis. Results: mean of total FIM value in the hospital was 70.4; and at home 84.3 (p <0.001). Independence was lower in the motor domain, in “self-care”, “mobility” and “locomotion” dimensions, in the two evaluations (p <0.001). Dependence reduced from 97.3% elderly in the hospital to 82.8% at home (p <0.001). There was a negative correlation between total FIM and age, number of medications, number of diseases and hospitalization time in both evaluations. Femoral and hip fractures were associated with lower total FIM values (p <0.001). Conclusion: the elderly had less independence in the hospital compared to at home, with greater impairment in the motor domain and “self-care”, “mobility” and “locomotion” dimensions, in the two moments evaluated.

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Section: Discussionsupporting

confidence: 85%

Functional independence of elderly patients who fell: a follow-up study

Sá

Santos

2019

Rev. Bras. Enferm.

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“…3 – 5 However, we expanded on past evidence by examining the trajectories from the first occurrence of functional disability, along with how social activity predicts these trajectories. Yu et al found that leisure activities were related to a “functional maintenance” trajectory (which is a desirable pattern) 7 ; however, they included people with functional disabilities at baseline. In this study, we limited participants to those who were independent at baseline to decrease the possibility of reverse causation.…”

Section: Discussionmentioning

confidence: 99%

“…6 However, we still have relatively little understanding of the association between social connections and trajectories in functional disability in older adults. 7…”

Section: Introductionmentioning

confidence: 99%

Exploring 2.5-Year Trajectories of Functional Decline in Older Adults by Applying a Growth Mixture Model and Frequency of Outings as a Predictor: A 2010–2013 JAGES Longitudinal Study

Saito¹,

Kondo²,

Saito

et al. 2019

Journal of Epidemiology

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“…Although ADLs and IADLs are etiologically neutral, by their very nature of being designed to capture disability in older adults, they fail to capture mild and moderate decrements in health along the entire spectrum of functioning over the life-course, inasmuch as a person will only experience these difficulties if their disability has crossed a certain threshold. ADLs refer to the basic tasks of everyday life, such as eating, bathing, dressing, toileting, and transferring and inability to execute these tasks indicate some degree of dependence and the need for assistance [ 8 , 9 ]. It is important to be able to identify people with milder limitations, since these can be the focus of public health interventions and are likely to produce the most gain in population health.…”

Section: Main Textmentioning

confidence: 99%

Rethinking Disability

Cieza

Sabariego

Bickenbach

et al. 2018

BMC Med

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Disability as a health outcome deserves more attention than it has so far received. With people living longer and the epidemiological transition from infectious to noncommunicable diseases as the major cause of health burden, we need to focus attention on disability – the non-fatal impact of heath conditions – over and above our concern for causes of mortality.With the first Global Burden of Disease study, WHO provided a metric that enabled the comparison of the impact of diseases, drawing on a model of disability that focused on decrements of health. This model has since been elaborated in the International Classification of Functioning, Disability and Health as being either a feature of the individual or arising out of the interaction between the individual’s health condition and contextual factors. The basis of WHO’s ongoing work is a set of principles: that disability is a universal human experience; that disability is not determined solely by the underlying health condition or predicated merely on the presence of specific health conditions; and finally, that disability lies on a continuum from no to complete disability. To determine whether interventions at individual or population levels are effective, an approach to disability measurement that allows for an appropriate and fair comparison across health conditions is needed. WHO has designed the Model Disability Survey (MDS) to collect information relevant to understand the lived experience of disability, including the person’s capacity to perform tasks actions in daily life, their actual performance, the barriers and facilitators in the environment they experience, and their health conditions. As disability gains prominence within the development agenda in the United Nations Sustainable Development Goals, and the implementation of the United Nations Convention on the Rights of Persons with Disabilities, the MDS will provide the data to monitor the progress of countries on meeting their obligations.The lesson learned from WHO’s activities is that disability is a universal human experience, in the sense that everyone can be placed on a continuum of functioning and either currently experiences or is vulnerable to experiencing disability over the course of their lives. This understanding of disability is the key to mainstreaming disability within the public discourse.

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Disability trajectories and associated disablement process factors among older adults in Taiwan

Cited by 44 publications

References 48 publications

Functional independence of elderly patients who fell: a follow-up study

Functional independence of elderly patients who fell: a follow-up study

Exploring 2.5-Year Trajectories of Functional Decline in Older Adults by Applying a Growth Mixture Model and Frequency of Outings as a Predictor: A 2010–2013 JAGES Longitudinal Study

Rethinking Disability

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