Phone or Email Survey: How do Demographics of People Aging with Long-term Physical Disability Associate with Survey Format Choice?

Objective: This study examined the environmental barriers and facilitators that hinder or promote participation among adults aging with physical disabilities. Method: Data come from an ongoing study of 1,331 individuals aging with long-term physical disability ( M = 65 years). Linear regression examined the association between individual and socioenvironmental factors and participation restrictions in work, leisure, and social activities. Results: Pain, fatigue, and physical functional limitations were significant barriers to participation for individuals aging with physical disability. Barriers in the built environment also reduced participation, net of health and functioning. Poor access to buildings was especially problematic for participation among individuals not using any mobility aid to get around. But for those using wheel or walking aids, environmental barriers had no adverse effect on participation. Discussion: These findings highlight the importance of disentangling the role of different environmental factors by distinguishing between assistive technology for mobility and the physical built environment, including their interactive effects.

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Depressive Disorders among Elderly People in Long-Term Institutional Care

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679309075793 ◽

1993 ◽

Vol 27 (3) ◽

pp. 379-391 ◽

Cited By ~ 39

Author(s):

David Ames

Keyword(s):

Physical Disability ◽

Depressive Disorders ◽

Long Term Care ◽

Institutional Care ◽

The Elderly ◽

Pharmacological Treatments ◽

Old People ◽

Term Care ◽

Elderly Living

Depressive disorders are common among old people in residential and nursing homes. Outside Australia the prevalence rate for depressive symptoms in homes ranges from 30–75% while that for depressive disorders defined by psychiatric diagnostic criteria is well over 20% in many nursing home studies. These rates are between two and twenty times higher than those found among the elderly living at home. Evidence from Australia indicates that a problem of similar magnitude exists here. While physical disability is strongly associated with depression in these populations, it is not the only factor likely to be responsible for the initiation and maintenance of depression among those in long-term care. There is an urgent need for studies which will better define likely aetiological and maintaining factors for depression in institutional populations, as well as controlled trials of both pharmacological treatments and environmental improvements. In addition, research is needed to establish whether depression is an independent risk factor for mortality among institutional residents.

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Impact of secondary health conditions on social role participation for a long-term physical disability cohort

Psychology Health & Medicine ◽

10.1080/13548506.2019.1595684 ◽

2019 ◽

Vol 24 (10) ◽

pp. 1159-1170

Author(s):

Kimberly P. Hreha ◽

Amanda E. Smith ◽

Jennifer L. Wong ◽

Tracy M. Mroz ◽

Donald J. Fogelberg ◽

...

Keyword(s):

Physical Disability ◽

Social Role ◽

Health Conditions

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Explanatory factors for the association between depression and long-term physical disability after stroke

Age and Ageing ◽

10.1093/ageing/afv132 ◽

2015 ◽

Vol 44 (6) ◽

pp. 1054-1058 ◽

Cited By ~ 9

Author(s):

Luis Ayerbe ◽

Salma A. Ayis ◽

Siobhan Crichton ◽

Anthony G. Rudd ◽

Charles D. A. Wolfe

Keyword(s):

Physical Disability ◽

Explanatory Factors

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Magnetic resonance imaging correlates of physical disability in relapse onset multiple sclerosis of long disease duration

Multiple Sclerosis Journal ◽

10.1177/1352458513492245 ◽

2013 ◽

Vol 20 (1) ◽

pp. 72-80 ◽

Cited By ~ 66

Author(s):

H Kearney ◽

MA Rocca ◽

P Valsasina ◽

L Balk ◽

J Sastre-Garriga ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Multiple Sclerosis ◽

Spinal Cord ◽

Magnetic Resonance ◽

Physical Disability ◽

Disease Duration ◽

Resonance Imaging ◽

Lesion Load ◽

Brain And Spinal Cord

Background: Understanding long-term disability in multiple sclerosis (MS) is a key goal of research; it is relevant to how we monitor and treat the disease. Objectives: The Magnetic Imaging in MS (MAGNIMS) collaborative group sought to determine the relationship of brain lesion load, and brain and spinal cord atrophy, with physical disability in patients with long-established MS. Methods: Patients had a magnetic resonance imaging (MRI) scan of their brain and spinal cord, from which we determined brain grey (GMF) and white matter (WMF) fractional volumes, upper cervical spinal cord cross-sectional area (UCCA) and brain T2-lesion volume (T2LV). We assessed patient disability using the Expanded Disability Status Scale (EDSS). We analysed associations between EDSS and MRI measures, using two regression models (dividing cohort by EDSS into two and four sub-groups). Results: In the binary model, UCCA ( p < 0.01) and T2LV ( p = 0.02) were independently associated with the requirement of a walking aid. In the four-category model UCCA ( p < 0.01), T2LV ( p = 0.02) and GMF ( p = 0.04) were independently associated with disability. Conclusions: Long-term physical disability was independently linked with atrophy of the spinal cord and brain T2 lesion load, and less consistently, with brain grey matter atrophy. Combinations of spinal cord and brain MRI measures may be required to capture clinically-relevant information in people with MS of long disease duration.

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P.219 The effect of peri-operative adverse events on long-term patient reported outcomes after lumbar spine surgery

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2021.330 ◽

2021 ◽

Vol 48 (s3) ◽

pp. S83-S83

Author(s):

O Ayling ◽

C FIsher

Keyword(s):

Lumbar Spine ◽

Adverse Events ◽

Spine Surgery ◽

Physical Disability ◽

Research Network ◽

Lumbar Spine Surgery ◽

Degenerative Disorders ◽

Patient Reported ◽

Euroqol 5D

Background: Peri-operative adverse events (AE) lead to patient disappointment and greater costs. There is a paucity of data on how AEs affect long-term outcomes. The purpose of this study is to examine peri-operative AEs and their impact on outcome after lumbar spine surgery. Methods: 3556 consecutive patients undergoing surgery for lumbar degenerative disorders enrolled in the Canadian Spine Outcomes and Research Network were analyzed. AEs were defined using the validated Spine AdVerse Events Severity system. Outcomes at 3,12, and 24 months post-operatively included the Owestry Disability Index (ODI), SF-12 Physical (PCS) and Mental (MCS) scales, visual analog scale (VAS) leg and back, Euroqol-5D (EQ5D), and satisfaction. Results: Adverse events occurred in 767 (21.6%) patients, 85 (2.4%) suffered major AEs. Patients with major AEs had worse OD (physical disability) scores and did not reach minimum clinically important differences at 2 years (no AE 25.7±19.2, major: 36.4±19.1, p<0.001). Major AEs were associated with worse ODI (physical disability) scores on multivariable linear regression (p=0.011). Conclusions: Major AEs after lumbar spine surgery lead to worse functional outcomes and lower satisfaction. This highlights the need to implement strategies aimed at reducing adverse events.

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Pathways for Long-Term Physical Activity Participation for Military Veterans With a Physical Disability

Adapted Physical Activity Quarterly ◽

10.1123/apaq.2019-0133 ◽

2021 ◽

Vol 38 (1) ◽

pp. 1-24

Author(s):

Celina H. Shirazipour ◽

Amy E. Latimer-Cheung

Keyword(s):

Physical Activity ◽

Program Development ◽

Thematic Analysis ◽

Physical Disability ◽

Military Veterans ◽

Physical Activity Participation ◽

Activity Participation

A gap in knowledge exists regarding how to maintain physical activity (PA) for individuals with acquired disabilities following initial introductory experiences. The current study aimed to contribute to filling this gap by exploring the PA pathways of military veterans with a physical disability, particularly those who maintain long-term PA, from impairment to the present. Veterans with a physical disability (N = 18) participated in interviews exploring their PA history and experiences. A reflexive thematic analysis was conducted to generate common pathways in PA participation, as well as to examine which elements of participation supported PA maintenance. Three long-term pathways were identified—two parasport pathways and one recreational PA pathway. Four elements of participation (i.e., mastery, challenge, belongingness, meaning) supported to maintain PA at key junctures. This knowledge provides further understanding of how to promote long-term PA for individuals with acquired disabilities and can support advancements in theory, as well as program development.

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