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Association Between Mobility, Participation, and Wheelchair-Related Factors in Long-Term Care Residents Who Use Wheelchairs as Their Primary Means of Mobility.
- Source :
-
Journal of the American Geriatrics Society . Jul2012, Vol. 60 Issue 7, p1310-1315. 6p. 1 Diagram, 2 Charts. - Publication Year :
- 2012
-
Abstract
- Objectives To explore how wheelchair-related factors, mobility, and participation are associated in a sample of long-term care residents who use wheelchairs as their primary means of mobility. Design Cross-sectional survey. Setting Eleven residential care facilities in the lower mainland of British Columbia, Canada. Participants One hundred forty-six self-responding residents and 118 proxy respondents: mean age 84 (range 60-103). Most were female (69%), and a small proportion (9%) drove a power wheelchair. Measurements The Nursing Home Life Space Diameter Assessment was used to measure resident mobility, and the Late Life Function and Disability Instrument: Disability Component was used to measure participation frequency in daily activities. Results Path analysis indicated that wheelchair-related factors were associated with participation frequency directly and indirectly through their relationship with mobility. The final model explained 46% of the variance in resident mobility and 53% of the variance in resident participation frequency. Wheelchair skills, which include the ability to transfer in and out of and propel a wheelchair, were important predictors of life-space mobility and frequency of participation, and life space mobility was a significant predictor of frequency of participation. Depression was associated with poorer wheelchair skills and mobility and less-frequent participation. Counterintuitively, perceived environmental barriers were positively associated with frequency of participation. Conclusion The findings suggest that, by addressing wheelchair-related factors, resident's mobility and participation may be improved, but the efficacy of this approach needs to be confirmed experimentally. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHI-squared test
*MENTAL depression
*MOTOR ability
*PATH analysis (Statistics)
*REGRESSION analysis
*RESEARCH funding
*SCALES (Weighing instruments)
*WHEELCHAIRS
*RESIDENTIAL care
*MAXIMUM likelihood statistics
*CROSS-sectional method
*GERIATRIC Depression Scale
*DATA analysis software
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 60
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 77683874
- Full Text :
- https://doi.org/10.1111/j.1532-5415.2012.04038.x