Advanced

ADL dependence in the elderly population living in the community: the influence of functional limitations and physical environmental demand

Iwarsson, Susanne LU ; Isacsson, Åke and Lanke, Jan LU (1998) In Occupational Therapy International 5(3). p.173-193
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... (More)
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. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Occupational Therapy International
volume
5
issue
3
pages
173 - 193
publisher
Whurr Publishing
external identifiers
  • scopus:0000575002
ISSN
1557-0703
DOI
10.1002/oti.74
language
English
LU publication?
yes
id
a1465b04-57b8-4919-abd7-75115038aa79 (old id 1750440)
date added to LUP
2010-12-29 09:29:30
date last changed
2017-01-01 05:13:28
@article{a1465b04-57b8-4919-abd7-75115038aa79,
  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.},
  author       = {Iwarsson, Susanne and Isacsson, Åke and Lanke, Jan},
  issn         = {1557-0703},
  language     = {eng},
  number       = {3},
  pages        = {173--193},
  publisher    = {Whurr Publishing},
  series       = {Occupational Therapy International},
  title        = {ADL dependence in the elderly population living in the community: the influence of functional limitations and physical environmental demand},
  url          = {http://dx.doi.org/10.1002/oti.74},
  volume       = {5},
  year         = {1998},
}