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A Long-Term Perspective on Person-Environment Fit and ADL Dependence Among Older Swedish Adults.

Iwarsson, Susanne LU (2005) In The Gerontologist 45(3). p.327-336
Abstract
Purpose: This study described person–environment (P–E) fit and activities of daily living (ADLs) among older adults, and it explored the relationship between P–E fit and ADL dependence, testing Lawton's docility hypothesis at two points in time. Design and Methods: From a random sample of individuals aged 75–84 living in a Swedish municipality, 72 persons were available for baseline and follow-up interviews over a 6-year period. Interviews and observations were used for data collection at home visits. Results: P–E fit problems as well as ADL dependence increased from baseline to follow-up. Functional limitations and dependence on mobility devices increased; few changes were found concerning environmental barriers. At follow-up, ADL... (More)
Purpose: This study described person–environment (P–E) fit and activities of daily living (ADLs) among older adults, and it explored the relationship between P–E fit and ADL dependence, testing Lawton's docility hypothesis at two points in time. Design and Methods: From a random sample of individuals aged 75–84 living in a Swedish municipality, 72 persons were available for baseline and follow-up interviews over a 6-year period. Interviews and observations were used for data collection at home visits. Results: P–E fit problems as well as ADL dependence increased from baseline to follow-up. Functional limitations and dependence on mobility devices increased; few changes were found concerning environmental barriers. At follow-up, ADL dependence and P–E fit correlated significantly in the frailest subsample. Implications: In advanced age, P–E fit problems in housing are related to ADL dependence. The increase of P–E fit problems mostly results from functional decline, although to some extent it is from environmental changes as well. The methodology used demonstrates the potential to increase our understanding of how the main components of Lawton's model change and interact over time. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Accessibility, Docility hypothesis, Functional limitations, Home assessment, Occupational therapy
in
The Gerontologist
volume
45
issue
3
pages
327 - 336
publisher
Gerontologial Society of America
external identifiers
  • pmid:15933273
  • wos:000229460500005
  • scopus:20044365622
ISSN
1758-5341
language
English
LU publication?
yes
id
10a5dc0b-2bed-48be-96e4-29ba2008db68 (old id 140262)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15933273&dopt=Abstract
date added to LUP
2007-07-23 10:55:31
date last changed
2017-10-08 03:41:38
@article{10a5dc0b-2bed-48be-96e4-29ba2008db68,
  abstract     = {Purpose: This study described person–environment (P–E) fit and activities of daily living (ADLs) among older adults, and it explored the relationship between P–E fit and ADL dependence, testing Lawton's docility hypothesis at two points in time. Design and Methods: From a random sample of individuals aged 75–84 living in a Swedish municipality, 72 persons were available for baseline and follow-up interviews over a 6-year period. Interviews and observations were used for data collection at home visits. Results: P–E fit problems as well as ADL dependence increased from baseline to follow-up. Functional limitations and dependence on mobility devices increased; few changes were found concerning environmental barriers. At follow-up, ADL dependence and P–E fit correlated significantly in the frailest subsample. Implications: In advanced age, P–E fit problems in housing are related to ADL dependence. The increase of P–E fit problems mostly results from functional decline, although to some extent it is from environmental changes as well. The methodology used demonstrates the potential to increase our understanding of how the main components of Lawton's model change and interact over time.},
  author       = {Iwarsson, Susanne},
  issn         = {1758-5341},
  keyword      = {Accessibility,Docility hypothesis,Functional limitations,Home assessment,Occupational therapy},
  language     = {eng},
  number       = {3},
  pages        = {327--336},
  publisher    = {Gerontologial Society of America},
  series       = {The Gerontologist},
  title        = {A Long-Term Perspective on Person-Environment Fit and ADL Dependence Among Older Swedish Adults.},
  volume       = {45},
  year         = {2005},
}