Participation frequency and perceived participation restrictions at older age: applying the International Classification of Functioning, Disability and Health (ICF) framework

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Arnadottir, Solveig A,1968-Umeå universitet,Sjukgymnastik (author)

Participation frequency and perceived participation restrictions at older age : applying the International Classification of Functioning, Disability and Health (ICF) framework

Article/chapterEnglish2011

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2011-03-29
Informa Healthcare,2011
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LIBRIS-ID:oai:DiVA.org:umu-35817
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35817URI
https://doi.org/10.3109/09638288.2011.563818DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Purpose: To identify variables from different components of International Classification of Functioning, Disability and Health (ICF) associated with older people's participation frequency and perceived participation restrictions. Method: Participants (N = 186) were community-living, 65-88 years old and 52% men. The dependent variables, participation frequency (linear regression) and perceived participation restrictions (logistic regression), were measured using The Late-Life Function and Disability Instrument. Independent variables were selected from various ICF components. Results: Higher participation frequency was associated with living in urban rather than rural community (beta = 2.8, p < 0.001), physically active lifestyle (beta = 4.6, p < 0.001) and higher cognitive function (beta = 0.3, p = 0.009). Lower participation frequency was associated with being older (beta = -0.2, p = 0.002) and depressive symptoms (beta = -0.2, p = 0.029). Older adults living in urban areas, having more advanced lower extremities capacity, or that were employed had higher odds of less perceived participation restrictions (adjusted odds ratio [OR] = 5.5, p = 0.001; OR = 1.09, p < 0.001; OR = 3.7, p = 0.011; respectively). In contrast, the odds of less perceived participation restriction decreased as depressive symptoms increased (OR = 0.8, p = 0.011). Conclusions: Our results highlight the importance of capturing and understanding both frequency and restriction aspects of older persons' participation. ICF may be a helpful reference to map factors associated with participation and to study further potentially modifiable influencing factors such as depressive symptoms and advanced lower extremity capacity.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
Participation
elderly
ICF
rural
residence
depressive symptoms
lower extremity capacity
Physiotherapy
Sjukgymnastik/fysioterapi
sjukgymnastik
Physiotherapy

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Gunnarsdottir, Elin D (author)
Stenlund, HansUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)hast0001 (author)
Lundin-Olsson, LillemorUmeå universitet,Sjukgymnastik,Arcum(Swepub:umu)lilu0003 (author)
Umeå universitetSjukgymnastik (creator_code:org_t)

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In:Disability and Rehabilitation: Informa Healthcare33:23-24, s. 2208-22160963-82881464-5165

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Physiotherapy

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