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Directions of Longitudinal Relationships between Housing-related Control Beliefs and Activities of Daily Living among People with Parkinson's disease

Andersson, Nilla LU orcid ; Iwarsson, Susanne LU ; Ullén, Susann LU ; Slaug, Björn LU orcid and Nilsson, Maria H LU orcid (2024) In Gerontology and Geriatric Medicine 10.
Abstract

INTRODUCTION: The gerontological literature suggests that external housing-related control beliefs (HCB) influence activities of daily living (ADL) among older people, but knowledge is scarce for people with Parkinson's disease (PD). This longitudinal study aimed to explore the directions of the relationship between external HCB and ADL among people with PD.

METHODS: Baseline (T1) and 3-year follow-up data (T2) were collected from 154 people with PD (mean age = 68 years, T1). Two regression analyses were applied, where dependent (T2 values) and independent (T1 values) variables-external HCB score and PD specific ADL (PADLS)-were switched, adjusting for age, disease severity, cognitive functioning, and accessibility... (More)

INTRODUCTION: The gerontological literature suggests that external housing-related control beliefs (HCB) influence activities of daily living (ADL) among older people, but knowledge is scarce for people with Parkinson's disease (PD). This longitudinal study aimed to explore the directions of the relationship between external HCB and ADL among people with PD.

METHODS: Baseline (T1) and 3-year follow-up data (T2) were collected from 154 people with PD (mean age = 68 years, T1). Two regression analyses were applied, where dependent (T2 values) and independent (T1 values) variables-external HCB score and PD specific ADL (PADLS)-were switched, adjusting for age, disease severity, cognitive functioning, and accessibility problems.

RESULTS: There was a significant effect of ADL on external HCB (β = 3.07, p < .001, CI [1.28, 4.85]), but no effect in the reverse direction. The proportion with moderate-extreme ADL difficulties increased over time (from 20.8% to 32.5%, p = .006).

DISCUSSION: ADL difficulties seem to lead to higher external HCB, but not the other way around, which contradicts assumptions in environmental gerontology theories. This new knowledge can promote theory development. While additional studies are required to verify whether this is a disease-specific finding, this indicates the importance of targeting ADL if the purpose is to influence external HCB among people with PD.

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; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Gerontology and Geriatric Medicine
volume
10
article number
23337214241299084
publisher
SAGE Publications
external identifiers
  • scopus:85209920852
  • pmid:39534388
ISSN
2333-7214
DOI
10.1177/23337214241299084
language
English
LU publication?
yes
additional info
© The Author(s) 2024.
id
b9aef2c0-4b48-4d19-97af-f4fdd8bfd43e
date added to LUP
2024-11-14 09:52:33
date last changed
2025-06-13 00:18:02
@article{b9aef2c0-4b48-4d19-97af-f4fdd8bfd43e,
  abstract     = {{<p>INTRODUCTION: The gerontological literature suggests that external housing-related control beliefs (HCB) influence activities of daily living (ADL) among older people, but knowledge is scarce for people with Parkinson's disease (PD). This longitudinal study aimed to explore the directions of the relationship between external HCB and ADL among people with PD.</p><p>METHODS: Baseline (T1) and 3-year follow-up data (T2) were collected from 154 people with PD (mean age = 68 years, T1). Two regression analyses were applied, where dependent (T2 values) and independent (T1 values) variables-external HCB score and PD specific ADL (PADLS)-were switched, adjusting for age, disease severity, cognitive functioning, and accessibility problems.</p><p>RESULTS: There was a significant effect of ADL on external HCB (β = 3.07, p &lt; .001, CI [1.28, 4.85]), but no effect in the reverse direction. The proportion with moderate-extreme ADL difficulties increased over time (from 20.8% to 32.5%, p = .006).</p><p>DISCUSSION: ADL difficulties seem to lead to higher external HCB, but not the other way around, which contradicts assumptions in environmental gerontology theories. This new knowledge can promote theory development. While additional studies are required to verify whether this is a disease-specific finding, this indicates the importance of targeting ADL if the purpose is to influence external HCB among people with PD.</p>}},
  author       = {{Andersson, Nilla and Iwarsson, Susanne and Ullén, Susann and Slaug, Björn and Nilsson, Maria H}},
  issn         = {{2333-7214}},
  language     = {{eng}},
  publisher    = {{SAGE Publications}},
  series       = {{Gerontology and Geriatric Medicine}},
  title        = {{Directions of Longitudinal Relationships between Housing-related Control Beliefs and Activities of Daily Living among People with Parkinson's disease}},
  url          = {{http://dx.doi.org/10.1177/23337214241299084}},
  doi          = {{10.1177/23337214241299084}},
  volume       = {{10}},
  year         = {{2024}},
}