scholarly journals Perceived Complexity of Instrumental Activities of Daily Living by Older People

2001 ◽  
Vol 11 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Henky H.K. Chan ◽  
Joseph C.K. Cheng ◽  
Kin-Chung Tang
2012 ◽  
Vol 24 (5) ◽  
pp. 784-793 ◽  
Author(s):  
Pedro Fonseca Zuccolo ◽  
Renata Ávila ◽  
Eduardo Y. Nakano ◽  
Júlio Litvoc ◽  
Marcos A. Lopes ◽  
...  

ABSTRACTBackground: Studies on functional capacity in community-dwelling older people have shown associations between declines in instrumental activities of daily living (IADL) and several factors. Among these, age has been the most consistently related to functional capacity independent of other variables. We aimed at evaluating the performance of a sample of healthy and cognitively intact Brazilian older people on activities of daily living and to analyze its relation to social-demographic variables.Methods: We conducted a secondary analysis of data collected for previous epidemiological studies with community-dwelling subjects aged 60 years or more. We selected subjects who did not have dementia or depression, and with no history of neurological diseases, heart attack, HIV, hepatitis or arthritis (n = 1,111). Functional capacity was assessed using the Brazilian version of the Older American Resources and Services Questionnaire (BOMFAQ). ADL performance was analyzed according to age, gender, education, and marital status (Pearson's χ2, logistic regression).Results: IADL difficulties were present in our sample, especially in subjects aged 80 years or more, with lower levels of education, or widowed. The logistic regression analysis results indicated that “higher age” and “lower education” (p ≤ 0.001) remained significantly associated with IADL difficulty.Conclusions: Functional decline was present in older subjects even in the absence of medical conditions and cognitive impairment. Clinicians and researchers could benefit from knowing what to expect from older people regarding IADL performance in the absence of medical conditions.


2011 ◽  
Vol 26 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Ali Ardalan ◽  
Monir Mazaheri ◽  
Hani Mowafi ◽  
Michael VanRooyen ◽  
Fariba Teimoori ◽  
...  

AbstractIntroduction: This study compares self-reported Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) status among elderly survivors of the 2003 Bam Earthquake before, two months after, and five years after the event, and explores related determinants.Methods: A two-stage cluster survey was conducted on 210 elderly survivors in the earthquake-stricken area five years after the event.Results: Both ADL and IADL scores decreased two months after earthquake compared to prior status (p <0.001). No differences were observed between two months and five years after the event (p >0.05). Access to medical services were not related to level of ADL or IADL (p = 0.52 and p = 0.74, respectively). Elderly survivors with lower functional capability in terms of ADL experienced more problems in access to relief items (p = 0.04), but no similar association was found for IADL (p = 0.26).Conclusion: The Bam earthquake adversely affected functional capacity of the elderly. Disaster responders must take into account functional capacity of elders when planning for medical and relief operations.


Author(s):  
Nunes DP ◽  
◽  
Castro DC ◽  
Mota JPN ◽  
Moura BM ◽  
...  

Objective: To identify the prevalence and factors associated with functional disability for Instrumental Activities of Daily Living (IADL) among older people in a Brazilian capital. Methods: This is a cross-sectional study carried out on 927 older people in the city of Goiânia, Goiás, Brazil. Lawton’s scale was used to assess IADL. Functional disability was characterized as difficulty in performing at least one activity. Multiple logistic regression was employed for the analysis of association. Results: A 58.2% prevalence of disability was identified, and the most compromised activities were doing manual work, doing the laundry, and ironing. There was an association between disability and old age, poor/very poor self-rated health, cerebrovascular accident, widowhood, cognitive impairment, musculoskeletal disorder, and living alone. Conclusions: The prevalence of functional disability for IADL was higher than that of national and international studies. We verified associated factors that can be modified by health promotion initiatives, which are configured as priority areas for interventions.


Author(s):  
Patsri Srisuwan ◽  
Daochompu Nakawiro ◽  
Sirinthorn Chansirikarnjana ◽  
Orawan Kuha ◽  
Sayan Janbumrung ◽  
...  

The present study aimed to assess the effectiveness of a multicomponent cognitive training using training of executive functions, attention, memory and visuospatial functions (TEAM-V) Program on cognition, mood and instrumental activities of daily living (IADL) among healthy older adults living in community. Using a single-blinded randomized controlled design, 80 participants were randomized to the TEAM-V or control group. The TEAM-V intervention was conducted for 5 sessions, with 2-week intervals between each session. The Thai version of the Montreal Cognitive Assessment (MoCA), the  Alzheimer’s Disease Assessment Scale-Cognitive Subscale (ADAS-cog), the Thai version of the Hospital Anxiety and Depression Scale (HADS) and the Chula ADL were used to assess at baseline and 6 months. Participants receiving the TEAM-V Program were associated with significant improvement in MoCA (P=0.03), word recall task (P=0.01) and word recognition task (P=0.01) scores (subtests of ADAS-cog) versus the control. Both anxiety and depression scores decreased in the intervention group (mean + SD: -0.20±2.15 and -0.43±2.17, respectively). In contrast, both anxiety and depression scores increased in the control group (mean + SD: 0.59±1.98 and 0.76±2.17, respectively). IADL scores increased in the intervention group but not in the control group (mean + SD: 0.13±0.61 and -0.05±0.33, respectively). The TEAM-V Program helped to improve global cognitive function, memory, reduce anxious and depressive symptoms and enhance IADL among healthy older people. Key words: activities of daily livings, cognitive training, mood, older adults


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