Abstract:
PURPOSE:This study extends understanding of the relationship between disability and independence in older adults with COPD. METHODS:An interviewer-administered questionnaire was used to examine disability, adaptation, perceptions of independence, and self-efficacy in a sample of 50 community-dwelling older adults. Odds ratios were used to investigate relationships between variables. RESULTS:Participants used a wide range of behavioural strategies to adapt to their disability including: limiting activities, optimizing performance (e.g. taking rests), compensating for lost function (e.g. using equipment), and obtaining help from others. The relative use of these adaptations varied across five domains of activity: personal care, in-home mobility, household activities, community mobility, and valued activities. Most participants felt very or extremely independent in all domains. In personal care, those who reported greater disability (O.R. = 0.26), more frequent attempts to optimize performance (O.R. = 0.57), or greater reliance on help from others (O.R. = 0.79) were significantly (p < 0.05) less likely to feel very or extremely independent. CONCLUSIONS:The relationship between disability and perceptions of independence depends on the nature of the activity and is influenced by factors that are amenable to study and intervention. In particular, the vast array of behavioural strategies available to older adults with COPD enables them to feel highly independent despite disability.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Falter LB,Gignac MA,Cott Cdoi
10.1080/0963828031000093495subject
Has Abstractpub_date
2003-07-22 00:00:00pages
795-806issue
14eissn
0963-8288issn
1464-5165journal_volume
25pub_type
杂志文章abstract:PURPOSE:The purpose of this study was to learn more about individual beliefs and personal strategies used to support the period of recovery after stroke. It sought to identify the factors that were perceived to be enablers as well as challenges to recovery. Personal actions or experiences, which were perceived to be ef...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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pub_type: 共识发展会议,杂志文章,评审
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.647233
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journal_title:Disability and rehabilitation
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