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- Dahlin-Ivanoff, Synneve, 1950-, et al.
(författare)
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Assistive devices in activities of daily living used by persons with age-related macular degeneration: a population study of 85-year-olds living at home.
- 2005
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Ingår i: Scandinavian journal of occupational therapy. - 1103-8128. ; 12:1, s. 10-7
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate the overall use of assistive devices among persons with age-related macular degeneration (ARMD) and how it is related to dependence in daily activities. This was a retrospective, descriptive, cross-sectional population study of 85-year-olds. The most common category of assistive devices was bathing devices followed by mobility devices. The overall use of assistive devices was 82%, and around 80% of the device users were independent in activities of daily living. They were multiple device users (57%) and used more mobility devices and personal assistance in mobility. In conclusion, the ARMD group comprises very frequent users of assistive devices and uses assistive devices to remain independent. This implies that health services should provide assistive devices at an early stage in the disablement process to avoid the development of dependence and should consider the likelihood of multiple health problems when assessing the needs of assistive devices among persons with ARMD.
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| 2. |
- Dahlin-Ivanoff, Synneve, 1950-, et al.
(författare)
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Changes in the use of assistive devices among 90-year-old persons.
- 2005
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Ingår i: Aging clinical and experimental research. - 1594-0667. ; 17:3, s. 246-51
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: The growing numbers of elderly people are expected to lead to an increasing demand for assistive devices. The purpose of this study was to examine changes in the use of assistive devices over time and their relation to dependence in daily activities among 90-year-old persons living at home. METHODS: This retrospective longitudinal study examined the 90-year-old population at the ages of 85 and 90, and 195 persons participated. RESULTS: 92% of the 90-year-old population used assistive devices at the age of 90, compared with 74% at the age of 85. Between this interval, 19% became new users, 73% were permanent users, and 7% did not make any use of assistive devices. There was a significantly higher proportion of device-users among those who were dependent in both personal daily activities (PADL) and instrumental activities of daily living (IADL) (98.5%, p < 0.001) and among those who were dependent in IADL (94%, p < 0.001) compared with those who were independent in ADL (72%). At the age of 90, bathing and mobility devices were the most frequently used. Mobility devices such as walking-frames and wheel-chairs were the most widely distributed devices in this group. CONCLUSIONS: The use of assistive devices increases with age, very few 90-year-olds remain nonusers at age 90, and the multiple use of assistive devices at 90 years of age is very common. This complexity put great demands on health care services, and highly skilled professionals are needed to meet these demands.
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| 3. |
- Dahlin-Ivanoff, Synneve, 1950-, et al.
(författare)
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Du behöver inte känna dig osäker
- 2009
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Ingår i: Livslots för seniorer. Dahlin Ivanoff S, redaktör. - Vårdalinstitutet 2009. ; s. 85-92
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Bokkapitel (övrigt vetenskapligt)
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| 5. |
- Dahlin-Ivanoff, Synneve, 1950-, et al.
(författare)
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Use of assistive devices in daily activities among 85-year-olds living at home focusing especially on the visually impaired.
- 2004
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Ingår i: Disability and rehabilitation. - 0963-8288. ; 26:24, s. 1423-30
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The purpose was to investigate the use of assistive devices in daily activities and its relation to daily activities. METHOD: 85-year-old persons (n = 617) were studied in a descriptive, cross-sectional population study. RESULTS: The overall use of assistive devices was 77% in the total population of 85-year-old persons and the results show that persons who have visual impairment use more assistive devices. The most common category of assistive devices in the population was connected with bathing followed by mobility devices. The majority of the assistive device users in all groups were independent in both instrumental (I-ADL) and personal daily activities (P-ADL). There was a statistically significant higher proportion of device users who were independent in daily activities in the normal vision group compared to the visual impairment groups. There was already a significant difference in the use of assistive devices at a visual acuity level of 0.7-0.5 compared to participants with normal vision. CONCLUSION: The results show that it is imperative to provide intervention such as assistive devices in P and I-ADL earlier in the disablement process in order to slow down the progression of decline, as persons with visual impairment are at high risk of developing disability.
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| 6. |
- Eklund, Kajsa, 1952-, et al.
(författare)
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A cost-effectiveness analysis of a health education programme for elderly persons with age-related macular degeneration: a longitudinal study.
- 2005
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Ingår i: Disability and rehabilitation. - 0963-8288. ; 27:20, s. 1203
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To analyse the cost-effectiveness of the activity-based Health Education Programme 'Discovering New Ways' versus a standard Individual Programme. Method: Two-hundred and twenty-nine persons were randomized to either the Health Education Programme or an Individual Programme. The present study is based on 131 persons who participated in the 28-month follow-up. Costs for the low vision clinic were documented prospectively along with external costs. A cost-effectiveness analysis was done using cases with an improved level of perceived security in daily activities as the effectiveness measure. Results: The Health Education Programme led to significantly more cases with an improved level of perceived security (45 vs. 10%, CI 95%: 21-49, p value < 0.001) and the total social cost per treatment was lower (28 004 vs. 36 341 SEK). Taken separately the low vision clinic costs were slightly higher due to a higher prescription of assistive devices, but external costs were lower for the Health Education Programme compared to the Individual Programme, though neither of these differences was statistically significant. Conclusion: The results suggest that replacing the standard Individual Programme with the Health Education Programme 'Discovering New Ways' is cost-effective as more persons experience increased security to a lesser total cost. © 2005 Taylor & Francis.
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| 7. |
- Eklund, Kajsa, 1952-, et al.
(författare)
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Long-term evaluation of a health education programme for elderly persons with visual impairment. A randomized study.
- 2004
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Ingår i: Disability and rehabilitation. - 0963-8288. ; 26:7, s. 401-9
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Tidskriftsartikel (refereegranskat)abstract
- In order to implement evidence-based practice, a randomized study was set up to evaluate the ADL- based Health Education Programme 'Discovering new ways' for elderly persons with age-related macular degeneration. PURPOSE: To investigate the impact of this program on perceived security in the performance of daily activities 28 months after the intervention. METHOD: Two-hundred and twenty-nine persons randomized to either the Health Education programme or an Individual Intervention Programme participated in the study. At the 28-month follow-up there was a dropout of 98 persons and the results are based on 62 persons participating in the Health Education Programme and 69 persons in the Individual Intervention Programme. RESULTS: There were statistically significant differences in perceived security between the groups in 15 out of 28 daily activities. Furthermore, the Health Education Group showed a significant tendency towards an improved level of security while the Individual Intervention Group tended to deteriorate. CONCLUSIONS: The findings provide strong support for the long-term effect of the programme and for the implementation of evidence-based practice. The study corroborates the effectiveness of the Health Education Programme in enhancing security and hindering a progressive decline in perceived security in daily activities.
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| 8. |
- Gosman-Hedström, Gunilla, 1947-, et al.
(författare)
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Teknik i vardagen
- 2009
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Ingår i: Livslots för seniorer. Redaktör Dahlin-Ivanoff S. - Vårdalinstitutet. ; s. 93
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Bokkapitel (övrigt vetenskapligt)
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