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One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles

Malmgren Fänge, Agneta LU orcid ; Chiatti, Carlos LU and Axmon, Anna LU orcid (2021) In International Journal of Environmental Research and Public Health 18(18).
Abstract

The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability (n = 59); older adults with medium/high level of disability (n = 26); adults with low level of disability (n = 10); adults with high level of disability (n = 8); and older adults with medium level of disability including at least moderate cognitive impairment (n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those... (More)

The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability (n = 59); older adults with medium/high level of disability (n = 26); adults with low level of disability (n = 10); adults with high level of disability (n = 8); and older adults with medium level of disability including at least moderate cognitive impairment (n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those with medium/high level of disability. Changes within the client profiles demonstrate a complex pattern of improvements and declines, depending on outcome, with no profile showing consistent improvement or decline across all outcomes. The risks of deterioration over one year were the highest among those with cognitive impairments at baseline, but no recommendation of prioritization decisions based on baseline profiles can be made. Instead, it seems that all HA clients, independently of baseline profile, are at risk of increasing disability over time and require follow-up evaluations regularly.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
home modification, disability, clusters, longitudinal, health, intervention, prioritization, evaluation
in
International Journal of Environmental Research and Public Health
volume
18
issue
18
pages
14 pages
publisher
MDPI AG
external identifiers
  • scopus:85114879822
  • pmid:34574626
ISSN
1660-4601
DOI
10.3390/ijerph18189704
project
Housing adaption planning - Implementing research-based methodology in community praxis
language
English
LU publication?
yes
id
b6899bec-3533-4798-b2cb-f8d694ca285d
date added to LUP
2021-09-30 08:27:31
date last changed
2024-06-01 16:28:17
@article{b6899bec-3533-4798-b2cb-f8d694ca285d,
  abstract     = {{<p>The purpose of this study was to investigate one-year changes and differences in changes in activities of daily living (ADL), usability, a history of falls, concerns about falling, and self-rated health across five housing adaptation (HA) client profiles identified previously using a cluster analysis approach: older adults with low level of disability (n = 59); older adults with medium/high level of disability (n = 26); adults with low level of disability (n = 10); adults with high level of disability (n = 8); and older adults with medium level of disability including at least moderate cognitive impairment (n = 5). Comparisons between the five profiles include secondary analyses aggregating those with low level of disability and those with medium/high level of disability. Changes within the client profiles demonstrate a complex pattern of improvements and declines, depending on outcome, with no profile showing consistent improvement or decline across all outcomes. The risks of deterioration over one year were the highest among those with cognitive impairments at baseline, but no recommendation of prioritization decisions based on baseline profiles can be made. Instead, it seems that all HA clients, independently of baseline profile, are at risk of increasing disability over time and require follow-up evaluations regularly.</p>}},
  author       = {{Malmgren Fänge, Agneta and Chiatti, Carlos and Axmon, Anna}},
  issn         = {{1660-4601}},
  keywords     = {{home modification; disability; clusters; longitudinal; health; intervention; prioritization; evaluation}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{18}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{One-Year Changes in Activities of Daily Living, Usability, Falls and Concerns about Falling, and Self-Rated Health for Different Housing Adaptation Client Profiles}},
  url          = {{http://dx.doi.org/10.3390/ijerph18189704}},
  doi          = {{10.3390/ijerph18189704}},
  volume       = {{18}},
  year         = {{2021}},
}