| 1. |
- Iwarsson, Susanne, et al.
(författare)
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ADL dependence in the elderly population living in the community: the influence of functional limitations and physical environmental demand
- 1998
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Ingår i: Occupational Therapy International. - : Wiley. - 1557-0703 .- 0966-7903. ; 5:3, s. 173-193
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Tidskriftsartikel (refereegranskat)abstract
- Empirical research elucidating the relationships between aspects of functional competence and environmental factors is lacking. This study aimed to analyse how functional limitations in the individual and housing accessibility problems influence ADL dependence in the elderly population, and to test Lawton's docility hypothesis. Data were collected from 133 Swedish subjects aged 75–84, who were living in the community. The main finding was that dependence in ADL correlated highly significantly with housing accessibility problems. The results also revealed significantly more ADL disability in the group of respondents in whom the heaviest environmental demands were identified, supporting the docility hypothesis. Although the study had limitations because the data required the use of non-parametric statistics, so restricting possible interpretations of the effects of geriatric comorbidity, the results indicated that interventions such as housing adaptations ought to be most effective with frail individuals. To promote independence in the general population, society has to work towards more accessible housing. More research is needed considering more environmental dimensions and elderly people's subjective apprehension of their housing environment.
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| 2. |
- Iwarsson, Susanne, et al.
(författare)
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Development of a novel instrument for occupational therapy assessment of the physical environment in the home - A methodologic study on “The Enabler”.
- 1996
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Ingår i: Occupational Therapy Journal of Research. - : SAGE Publications. - 0276-1599. ; 16:4, s. 227-244
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Tidskriftsartikel (refereegranskat)abstract
- Occupational therapy assessment of the physical environment in the home in relation to the functional capacity of an individual is essential prior to environmental adaptations to reduce handicap. Standardized methods for research and clinical use are in great demand. To introduce and develop a new instrument for occupational therapy assessment, the novel ideogram “The Enabler” was translated into Swedish and revised. It was first tested in practice by occupational therapists in primary health care. After further revisions of “The Enabler” and pre-teaching of raters, each of 30 individuals in their home environments was assessed by two independent raters. Reliability was evaluated using the kappa statistic. After only a few lessons in advance, the raters were able to administer the assessment in practice in a reliable way, agreement between raters was very good to good, k̄ = 0.68–0.87. The Swedish revised version of “The Enabler” is a useful tool for occupational therapy home evaluation and research.
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| 3. |
- Iwarsson, Susanne, et al.
(författare)
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Housing standards, environmental barriers in the home, and subjective general apprehension of housing situation among the rural elderly.
- 1996
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 3:2, s. 52-61
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe housing standards, physical environmental barriers in the homes and housing accessibility in relation to elderly people’s subjective general apprehension of their housing situation. By means of a novel instrument for home assessments, the Enabler, a rural population sample of individuals aged 75-84 years was surveyed. The results demonstrated that the respondents lived in houses with high housing standards. However, in every home assessed, physical environmental barriers were found. The environmental barrier that was predicted to cause the heaviest environmental demand of all, in relation to the prevalence of functional limitations and dependence on assistive devices for mobility in the sample investigated, was “Lack of handrails at WChath-tubkhower”. The respondents’ subjective general apprehension of their housing was very positive, and not correlated to housing accessibility. In conclusion, inaccessible housing represents a potential public health problem, since it threatens the activity level of older persons. However, other aspects of housing seem to be more important to the elderly people themselves. Housing accessibility problems are currently overlooked but are important to future public planning concerning housing for the elderly
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| 4. |
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| 5. |
- Iwarsson, Susanne, et al.
(författare)
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Quality of life in the elderly population: an example exploring interrelationships among subjective well-being, ADL dependence, and housing accessibility.
- 1997
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Ingår i: Archives of Gerontology and Geriatrics. - 1872-6976. ; 26:1, s. 71-83
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Tidskriftsartikel (refereegranskat)abstract
- During recent decades, research on quality of life has gained increasing interest. In gerontology, the assessment of objective as well as subjective dimensions is recommendable, and the most innovative research will involve the study of the interrelationships of several components. In empirical research objective environmental factors have rarely been explored. The aim of this study was to explore the interrelationships among subjective well-being, dependence in activities of daily living (ADL), and objective housing accessibility in the elderly population in ordinary housing. A random sample of 133 subjects aged 75-84 was multi-dimensionally assessed. The Gothenburg Quality of Life Instrument, a revised version of the ADL Staircase and the Enabler were administered at home-visits. Most of the subjects rated their general well-being as high. One-third were independent in ADL, and 1/5 did not have any objective housing accessibility problems. Different aspects of physical well-being covaried significantly with ADL dependence, but even more strongly with objective housing accessibility. Theoretically, the results relate to the Lawton model of ;The Good Life'. In conclusion, inaccessible housing represents a potential health problem, since it threatens the independence and subjective well-being of elderly people. The results presented in this study provided increased knowledge of importance for geriatric rehabilitation and society planning to meet the needs of senior citizens.
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| 6. |
- Nygren, Carita, et al.
(författare)
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Quality of care in geriatric rehabilitation: Clients’ perceptions, ADL dependence, and subjective well-being in a one-year perspective.
- 2001
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 8:3, s. 148-156
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Tidskriftsartikel (refereegranskat)abstract
- World-wide, the development of community-based geriatric rehabilitation has received increased attention. In Sweden, national reforms during the 1990s aimed at improved quality of geriatric rehabilitation. This paper focuses clients' perceptions of the rehabilitation process, dependence in activities of daily living (ADL), and subjective well-being in a one-year perspective. A study-specific questionnaire, a revised version of the ADL Staircase, and the Göteborg Quality of Life Instrument were administered, in 1996 (N = 278) and 1997 (N = 233). Even if 77% of the clients were content as regards rehabilitation quality, in 1997 contentment diminished among clients in sheltered housing facilities. Most clients also reported a diminished contentment with the training provided during the period investigated. Most clients were dependent in ADL, but in sub-groups independence in some activities diminished over the study period. In contrast, in some aspects sub-groups scored their subjective well-being lower on the second measurement than on the first. The investigation of clients' perceptions of quality of care is a multifaceted matter, and the results of this study were partly ambiguous. Still, since valid descriptions of variables at target for rehabilitation is one important key to the continuous process of quality development, this study produced information valuable for further studies following geriatric rehabilitation processes over time. The implementation of this study could be applicable in similar settings. Read More: http://informahealthcare.com/doi/abs/10.1080/110381201750464502
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