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- Kammerlind, A-S, et al.
(författare)
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Test-retest reliability of the Swedish version of the Life-Space Assessment Questionnaire among community-dwelling older adults
- 2014
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Ingår i: Age well.
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Konferensbidrag (refereegranskat)abstract
- Background: Mobility is a vitally important activity throughout life. Advanced age carries increased risk of experiencing decreased mobility, with associated activity limitations and participation restrictions in social events. The Life-Space Assessment (LSA), originally developed by Sawyer Baker and colleagues in the U.S.A., has been used to measure mobility in community dwelling older adults. The LSA includes six levels of life-space, ranging from the person's bedroom to places beyond the person's hometown. A total LSA score is obtained by multiplying the life-space level reached by a value for independence and a value for the frequency of transportations. Three additional measures of life-space levels can be calculated: the independent life-space level; the assistive life-space level; and the maximal life-space level. Objective: To examine the test-retest reliability of the Swedish version of the Life-Space Assessment Questionnaire. Methods: At two test sessions, two weeks apart, 298 community-dwelling subjects between 75 and 90 years of age were asked about their life-space mobility during the past four weeks, and how often and whether they were independent from another person or equipment to reach different life-space levels. Results: None of the four scoring methods showed significant differences between test sessions. The mean total scores were 65 out of the maximum possible score of 120 at both test sessions. High levels were also found for independent, assisted, and maximal life-space at both sessions. ICC coefficients and weighted Kappa values between 0.84-0.94 were found for the total score, the independent and the assisted life-space levels indicating good to excellent reliability. The method error values showed that a change of 10 in the total score and a change of one level in any of the three life-space levels can be considered to indicate a real change in clinical practice. Conclusion: The Swedish version of the Life-Space Assessment Questionnaire can be reliably used among community-dwelling older adults.
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| 2. |
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| 3. |
- Ernsth-Bravell, Marie, 1973-
(författare)
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Biologiskt åldrande
- 2020. - 3
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Ingår i: Äldre och åldrande. - Malmö : Gleerups Utbildning AB. - 9789151102689 ; , s. 153-182
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 4. |
- Ernsth-Bravell, Marie, 1973-, et al.
(författare)
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Cohort differences in longitudinal change in functional ability
- 2018
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Konferensbidrag (refereegranskat)abstract
- Background: Quality of life in late adulthood is a function of physical, emotional, and intellectual health, and maintenance of functional ability is central to sustaining independent living. Generational differences in health behaviors and health care may result in differences in how functional ability changes with age. Cohort differences in rates of decline would provide support for environmental or behavioral influences on aging of physical functioning.Method: Twenty assessments of functional ability were collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from twins aged 50–88 at the first wave. Participants completed up to 7 assessments covering a 21-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance. Individuals born 1900-1924 (N=441) were compared with individuals born 1925-1948 (N=418).Results: Latent growth curve modeling incorporating two linear slopes was used to compare rates of decline between the two cohorts. For the early born cohort, slopes assessed change from 60-80 (slope 1) and 80-95 (slope 2); for the later born cohort, slopes assessed changes from 50-60 and 60-80. The balance and flexibility factors showed equivalent increase in difficulty in functioning in the overlapping age range (age 60-80); however, difficulties in fine motor skills increased faster in the later born cohort in that age range.Conclusions: Cohort differences in experiences have modest impact on increases in difficulty in physical functioning; generally, aging of physical functioning is occurring at the same pace for two distinct cohorts, providing support for internal mechanisms of decline.
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| 5. |
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| 6. |
- Ernsth-Bravell, Marie, 1973-
(författare)
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Gerontologi — vad är det?
- 2020. - 3
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Ingår i: Äldre och åldrande. - Malmö : Gleerups Utbildning AB. - 9789151102689 ; , s. 19-48
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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| 8. |
- Ernsth Bravell, Marie, 1973-, et al.
(författare)
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How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden
- 2011
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Ingår i: Archives of Gerontology and Geriatrics. - : Elsevier BV. - 1872-6976 .- 0167-4943. ; 53:1, s. 40-45
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Tidskriftsartikel (refereegranskat)abstract
- Knowledge about the need for care of elderly individuals in community dwellings and the factors affecting their needs and support is limited. The aim of this study was to characterize the frailty of a population of elderly individuals living in community dwellings in Sweden in relation to co-morbidity, use of drugs, and risk of severe conditions such as malnutrition, pressure ulcers, and falls. In 2008, 315 elderly individuals living in community dwellings were interviewed and examined as part of the SHADES-study. The elderly demonstrated co-morbidity (a mean of three diseases) and polypharmacy (an average of seven drugs). More than half the sample was at risk for malnutrition, one third was at risk for developing pressure ulcers, and nearly all (93%) had an increased risk of falling and a great majority had cognitive problems. Age, pulse pressure, body mass index, and specific items from the modified Norton scale (MNS), the Downton fall risk index (DFRI), and the mini nutritional assessment (MNA-SF) were related to different outcomes, defining the need for care and frailty. Based on the results of this study, we suggest a single set of items useful for understanding the need for care and to improve individual based care in community dwellings. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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| 9. |
- Ernsth-Bravell, Marie, 1973-
(författare)
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Hälsa bland äldre
- 2020. - 3
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Ingår i: Äldre och åldrande. - Malmö : Gleerups Utbildning AB. - 9789151102689 ; , s. 95-110
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Ernsth-Bravell, Marie, 1973-, et al.
(författare)
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"In August, I Counted 24 Different Names" : Swedish Older Adults' Experiences of Home Care
- 2021
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Ingår i: Journal of Applied Gerontology. - : Sage Publications. - 0733-4648 .- 1552-4523. ; 40:9, s. 1020-1028
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, many older adults receive care in their own homes. However, their perceptions of the experience of receiving home care has not been sufficiently examined. This study aimed to explore older adults' experiences of receiving care and services in their homes and their perceptions of the care that they had received. In-depth interviews were conducted with 29 older adults. There were individual differences in their level of participation, but they mostly perceived their participation in the planning and provision of home care to be limited. Furthermore, their needs (and wishes), especially those that pertained to different aspects of time, were not always gratified. Organizational factors and care providers' lack of competence and high levels of time pressure influenced their perceptions of care. It is important to consider the perspectives of older care recipients when developing home care.
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