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- 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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- 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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- Iwarsson, Susanne, et al.
(författare)
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Enabler.
- 1997
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Ingår i: Utställarkatalog. ; , s. 47-47
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Konferensbidrag (refereegranskat)
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- Iwarsson, Susanne
(författare)
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Enabler
- 1999
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Konferensbidrag (refereegranskat)
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