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Longitudinal association between housing accessibility and activities of daily living : The role of self-efficacy and control in people ageing with Parkinson's disease

Gefenaite, Giedre LU orcid ; Björk, Jonas LU ; Iwarsson, Susanne LU ; Slaug, Björn LU orcid ; Schmidt, Steven M. LU orcid and Nilsson, Maria H. LU orcid (2020) In BMC Geriatrics 20.
Abstract

Background: External housing-related control beliefs (HCB) and general self-efficacy (GSE) influence different health outcomes in the general ageing population, but there is no information of their role in people ageing with Parkinson's disease (PD). This study aimed to longitudinally assess the role of external HCB and GSE on the association between housing accessibility and activities of daily living (ADL) among people ageing with PD. Methods: Baseline and 3-year follow-up data on 130 community-living participants from the Swedish project 'Home and Health in People Ageing with PD' were collected. Assessments addressed housing accessibility, external HCB, GSE, generic ADL and ADL specific to PD. The moderating effects of external HCB... (More)

Background: External housing-related control beliefs (HCB) and general self-efficacy (GSE) influence different health outcomes in the general ageing population, but there is no information of their role in people ageing with Parkinson's disease (PD). This study aimed to longitudinally assess the role of external HCB and GSE on the association between housing accessibility and activities of daily living (ADL) among people ageing with PD. Methods: Baseline and 3-year follow-up data on 130 community-living participants from the Swedish project 'Home and Health in People Ageing with PD' were collected. Assessments addressed housing accessibility, external HCB, GSE, generic ADL and ADL specific to PD. The moderating effects of external HCB and GSE were assessed by including an interaction term in multivariable logistic regression. Results: There were statistically significant interactions between housing accessibility and GSE on ADL (p = 0.03), and housing accessibility and external HCB on PD specific ADL (p = 0.03). After stratifying the analyses by GSE, housing accessibility problems led to more dependence and difficulty in ADL in participants with low GSE (OR 1.14; 95% CI 1.02-1.28). After stratifying by external HCB, housing accessibility increased dependence and difficulty in PD specific ADL in participants with low external HCB (OR 1.35; 95% CI 1.03-1.76). Discussion: The results suggest that housing accessibility predicts ADL in people with PD with GSE and external HCB playing a moderating role for generic ADL and ADL specific to PD, respectively. Further longitudinal studies should validate these findings and explore their potential application in PD-related care and rehabilitation.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ADL, General self-efficacy, Housing accessibility, Housing-related control beliefs
in
BMC Geriatrics
volume
20
article number
181
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85085416096
  • pmid:32450800
ISSN
1471-2318
DOI
10.1186/s12877-020-01574-z
project
Home and health in people ageing with Parkinson's disease
Home, Health and Disability along the Process of Ageing
Sustainable outdoor living environments – systematic interdisciplinary studies of health effects and impact on social inequalities
Housing Enabler
language
English
LU publication?
yes
id
a5354e05-2dab-41e7-a9ff-071ec49f7e2b
date added to LUP
2020-06-16 13:28:37
date last changed
2024-03-04 20:53:21
@article{a5354e05-2dab-41e7-a9ff-071ec49f7e2b,
  abstract     = {{<p>Background: External housing-related control beliefs (HCB) and general self-efficacy (GSE) influence different health outcomes in the general ageing population, but there is no information of their role in people ageing with Parkinson's disease (PD). This study aimed to longitudinally assess the role of external HCB and GSE on the association between housing accessibility and activities of daily living (ADL) among people ageing with PD. Methods: Baseline and 3-year follow-up data on 130 community-living participants from the Swedish project 'Home and Health in People Ageing with PD' were collected. Assessments addressed housing accessibility, external HCB, GSE, generic ADL and ADL specific to PD. The moderating effects of external HCB and GSE were assessed by including an interaction term in multivariable logistic regression. Results: There were statistically significant interactions between housing accessibility and GSE on ADL (p = 0.03), and housing accessibility and external HCB on PD specific ADL (p = 0.03). After stratifying the analyses by GSE, housing accessibility problems led to more dependence and difficulty in ADL in participants with low GSE (OR 1.14; 95% CI 1.02-1.28). After stratifying by external HCB, housing accessibility increased dependence and difficulty in PD specific ADL in participants with low external HCB (OR 1.35; 95% CI 1.03-1.76). Discussion: The results suggest that housing accessibility predicts ADL in people with PD with GSE and external HCB playing a moderating role for generic ADL and ADL specific to PD, respectively. Further longitudinal studies should validate these findings and explore their potential application in PD-related care and rehabilitation.</p>}},
  author       = {{Gefenaite, Giedre and Björk, Jonas and Iwarsson, Susanne and Slaug, Björn and Schmidt, Steven M. and Nilsson, Maria H.}},
  issn         = {{1471-2318}},
  keywords     = {{ADL; General self-efficacy; Housing accessibility; Housing-related control beliefs}},
  language     = {{eng}},
  month        = {{05}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Geriatrics}},
  title        = {{Longitudinal association between housing accessibility and activities of daily living : The role of self-efficacy and control in people ageing with Parkinson's disease}},
  url          = {{http://dx.doi.org/10.1186/s12877-020-01574-z}},
  doi          = {{10.1186/s12877-020-01574-z}},
  volume       = {{20}},
  year         = {{2020}},
}