Relationship between engagement and level of functional status in older adults

Dombrowsky, Thomas

doi:10.1177/2050312117727998

Cited by 22 publications

(19 citation statements)

References 74 publications

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“… 35 In contrast, all men in the pooled analysis—regardless of weight loss assignment—experienced modest improvement in SPPB score, which suggests a different mechanism of action. Social engagement is an important determinant of functional status in older adults, 36 with men typically reporting less social connectedness than women. 37 Because included trials were behavioral based, opportunity for social engagement would have increased for all participants and could underlie the universal improvement in SPPB score we observed in men.…”

Section: Discussionmentioning

confidence: 99%

Association of Sex or Race With the Effect of Weight Loss on Physical Function

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Association of Sex or Race With the Effect of Weight Loss on Physical Function

et al. 2020

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“…We found younger patients reported a greater number and more severe physical and psychological symptom burden and lower perception of their health than older patients. This finding has been shown in a small number of quality-of-life studies 25,26 implying older age may not be a predictor of symptom burden and poor quality of life in patients with multimorbidity.…”

Section: Discussionmentioning

confidence: 66%

Symptom Burden and Palliative Care Needs Among High-Risk Veterans With Multimorbidity

Reinke

Vig

Tartaglione

et al. 2019

Journal of Pain and Symptom Management

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Context. Palliative care research has focused on patients with disease-specific conditions. However, older patients with multimorbidity may have unmet palliative care needs.Objectives. We assessed symptom burden and quality of life among veterans with multimorbidity and sought to determine if their bothersome symptoms were addressed and treated in the primary care setting. We sought to identify specific diagnoses that may account for greater symptom burden. We hypothesized that patients with a higher number of diagnoses would experience greater symptom burden and poorer quality of life.Methods. We identified veterans at high risk of hospitalization or death using a validated prognostic model. We administered cross-sectional surveys via telephone, The Memorial Symptom Assessment ScaledShort Form and Veterans RAND 12, to randomly selected patients in primary care in the VA Health Care System from May to December 2015. We assessed if their most bothersome symptom was addressed and treated during their most recent visit. Regression models identified specific diagnoses accounting for greater symptom burden and patient predictors of high symptom burden and poor quality of life.Results. Patients (n ¼ 503) reported (10.6 AE 5.5) active symptoms and poor physical quality of life. Patients reported pain and dyspnea as their most bothersome symptoms (n ¼ 145 [29%] and n ¼ 57 [11%], respectively). Most patients acknowledged their clinicians assessed (n ¼ 348 [74%]) and treated (n ¼ 330 [70%]) their most bothersome symptom. Physical symptoms (78%, P < 0.0001) were more likely to be addressed than psychological symptoms (55%, P < 0.001). Patients diagnosed with obesity or depression experienced greater physical symptom burden. Younger patients reported greater symptom severity than older patients (P < 0.01). Younger patients and those with greater multimorbidities reported lower self-perceived quality of health than older patients and those with fewer multimorbidities (P ¼ 0.01 and P < 0.01, respectively). Conclusion.Outpatients with multimorbidity have high symptom burden, unaddressed symptoms, poor quality of life, and unmet palliative care needs. Our findings support standardization of comprehensive symptom assessment and management in primary care for veterans with multimorbidities, which may ameliorate symptoms and improve quality of life. J Pain Symptom Manage 2019;57:880e889.

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“…The literature shows that cognitive functioning abilities, depressive symptoms, social support, and physical activity are associated with level of functioning status (Bonnefoy et al, 2012;Dombrowsky, 2017;Hatch & Lusardi, 2010;McLaughlin et al, 2012;Song, Meade, Akobundu, & Sahyoun, 2014). Furthermore, frequency and level of engagement is known to be associated with better level of functioning; however, the direction of the impact is unclear (Dombrowsky, 2017). It is unknown whether study participants engaged in the intervention components because they had better level of functioning, or whether they had better functioning abilities because they engaged in the intervention components.…”

Section: Discussionmentioning

confidence: 99%

Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment

Amofa

DeFeis

Wit

et al. 2019

The Clinical Neuropsychologist

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2020) Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment, The Clinical Neuropsychologist, 34:5, 937-955, ABSTRACT Objective: Behavioral interventions during early memory decline hold promise in delaying the development of dementia. In the present study, participants in a multimodal behavioral intervention study were assessed for post-intervention adherence and predictors of adherence. Methods: Participants (N ¼ 272, mean age ¼ 75.04 ± 7.54) diagnosed with amnestic Mild Cognitive Impairment (aMCI) were assigned to intervention groups receiving four out of five behavioral intervention components, including yoga, memory compensation training, computerized cognitive training, support groups, and/or wellness education. Length of the intervention was 10 days, 4 h per day, with post-intervention follow-up at 6, 12, and 18 months. Results: Two-hundred and thirty-seven participants completed the 6-month post-intervention follow-up measures, 228 participants completed the 12-month measures, and 218 participants completed the 18-month measures. Participants fully adhered to a mean of 2 out of the 4 taught intervention components. Eightynine percent of participants were at least partially adherent to one or more taught intervention components at 6-, 12-, and 18-month post-intervention follow-up. Physical activity was the most adhered to intervention while group support was the least adhered to intervention across all three follow-up time-points. Higher educational level, higher baseline depressive symptoms, higher baseline global cognitive functioning, and better baseline and concurrent functional abilities were associated post-intervention adherence. Conclusion: Changes in functional abilities are associated with disease progression among persons with aMCI. In the present study, individuals with aMCI who have higher education, higher depressive symptoms, and better baseline functioning abilities are ARTICLE HISTORY more likely to adhere to behavioral intervention components over time. Post-intervention adherence also associates with concurrent daily function.

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Relationship between engagement and level of functional status in older adults

Cited by 22 publications

References 74 publications

Association of Sex or Race With the Effect of Weight Loss on Physical Function

Association of Sex or Race With the Effect of Weight Loss on Physical Function

Symptom Burden and Palliative Care Needs Among High-Risk Veterans With Multimorbidity

Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment

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