Recovery in instrumental activities of daily living (IADLs): findings from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS).

Abstract:

OBJECTIVE:to provide evidence for predictors of recovery in instrumental activities of daily living (IADLs) among disabled older people living in the community. DESIGN:MRC CFAS recruited a sample of 13,004 individuals aged 65 years and above from five communities in the UK. Participants underwent a baseline interview between 1990 and 1994 and were re-assessed 2 years later. PARTICIPANTS:the participants who reported that they were unable to perform any IADL without difficulty or help at baseline ('disabled') were included in the analysis. METHODS:logistic regression was used to estimate odds ratios (OR) for improvement from disabled to non-disabled state at follow-up ('recovery'). RESULTS:at baseline, 50% reported disability of whom 9% reported independent function at follow-up. Women (OR = 0.4) and participants aged > or =75 years (OR = 0.2) were least likely to recover, followed by those with poor self-rated health (OR = 0.5), using at least one medication (OR = 0.6) and having more than or equal to two co-morbidities (OR = 0.6). CONCLUSION:a minority of participants reporting disability at baseline then reported independent function at 2 years. It may be important to focus on those who seem least likely to recover once they have become disabled. Several factors that have been shown to increase the risk of disability were inversely associated with recovery, suggesting that intervention programmes could target these same factors.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Seidel D,Jagger C,Brayne C,Matthews FE,Cfas M

doi

10.1093/ageing/afp128

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

663-8

issue

6

eissn

0002-0729

issn

1468-2834

pii

afp128

journal_volume

38

pub_type

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