Medical and Everyday Assistive Device Use among Older Adults with Arthritis

2002 ◽  
Vol 21 (4) ◽  
pp. 535-548 ◽  
Author(s):  
Deborah Sutton ◽  
Monique A.M. Gignac ◽  
Cheryl Cott
Keyword(s):  
Older Adults ◽  
Physical Disability ◽  
Assistive Devices ◽  
Assistive Device ◽  
Enabling Factors ◽  
Community Mobility ◽  
Wide Range ◽  
Household Activities ◽  
Device Use ◽  
Structured Questionnaire

ABSTRACTThis research compared older adults' use of medical assistive devices (ADs) with their use of everyday ADs as a means of managing chronic physical disability. The study also examined whether predisposing, need, and enabling factors were associated with device use in three domains of activity: personal care / in-home mobility, household activities, and community mobility. Participants were 248 adults, aged 55 years and older, with a wide range of disability levels as a result of osteoarthritis. All participants were administered an in-depth, structured questionnaire, as part of a larger study examining older adults' independence and adaptation to chronic physical illness. The results revealed that respondents actively adapted to their disabilities and used a wide range of medical and everyday devices, with everyday devices being reported more than twice as often as medical ADs and the fewest devices overall being reported for community mobility. In general, medical devices were used when subjective and objective need for ADs was considerable. Everyday devices were reported earlier in the trajectory of the disease, at mild and moderate disability levels, and were associated with a broader pattern of adaptation that included planning to avoid problems, exercise, and pacing activities.

Assistive Device Use among Community-Dwelling Older Adults: A Profile of Canadians Using Hearing, Vision, and Mobility Devices in the Canadian Longitudinal Study on Aging

2020 ◽  
pp. 1-16
Author(s):  
Yoko Ishigami ◽  
Jeffrey Jutai ◽  
Susan Kirkland
Keyword(s):  
Older Adults ◽  
Social Participation ◽  
Healthy Aging ◽  
Well Being ◽  
Community Dwelling ◽  
Assistive Devices ◽  
Assistive Device ◽  
Functional Impairments ◽  
Substantial Impact ◽  
Device Use

ABSTRACT There is increasing recognition that using assistive devices can support healthy aging. Minimizing discomfort and loss of function and increasing independence can have a substantial impact physically, psychologically, and financially on persons with functional impairments and resulting activity limitations, as well as on caregivers and communities. However, it remains unclear who uses assistive devices and how device use can influence social participation. The current analysis used CLSA baseline data from 51,338 older adults between the ages of 45 and 85. Measures of socio-demographic, health, and social characteristics were analyzed by sex and age groups. Weighted cross-tabulations were used to report correlations between independent variables and assistive device use for hearing, vision, and mobility. We found that assistive device use was higher among those who were of older age, had less education, were widowed, had lower income, and had poorer health. Assistive devices were used differently according to sex and social participation, providing insight into assistive device use for the well-being of older adults and their families.

Independence and Dependence for Older Adults with Osteoarthritis or Osteoporosis

1999 ◽  
Vol 18 (1) ◽  
pp. 1-25 ◽  
Author(s):  
Cheryl A. Cott ◽  
Monique A.M. Gignac
Keyword(s):  
Older Adults ◽  
Coping Skills ◽  
Community Dwelling ◽  
Assistive Devices ◽  
Helping Relationship ◽  
Subjective Perceptions ◽  
Community Mobility ◽  
Household Activities ◽  
Community Dwelling Older Adults ◽  
Depth Interviews

ABSTRACTThis study uses qualitative methods to explore subjective perceptions of independence and dependence for older adults with chronic musculoskeletal conditions. Twenty-seven in-depth interviews were conducted with community-dwelling older adults with osteoarthritis and/or osteoporosis in the greater Metropolitan Toronto area. Respondents shared similar overall perceptions of independence and dependence, but self-definitions as independent were related to domains of difficulty, coping skills used, assistive devices, and nature of the helping relationship. Three categories of respondents based on domains of difficulty (Community Mobility, Household Activities, and Personal Care) are used to illustrate how respondents negotiate their self-identities as independent in light of the other three factors.

Mesh Network of eHealth Intelligent Agents for Visually Impaired and Blind People

2022 ◽  
pp. 240-271
Author(s):  
Dmytro Zubov
Keyword(s):  
Intelligent Agents ◽  
Visually Impaired ◽  
Assistive Devices ◽  
Mesh Network ◽  
Assistive Device ◽  
Raspberry Pi ◽  
Industrial Facilities ◽  
Blind And Visually Impaired ◽  
Wide Range ◽  
Human Faces

Smart assistive devices for blind and visually impaired (B&VI) people are of high interest today since wearable IoT hardware became available for a wide range of users. In the first project, the Raspberry Pi 3 B board measures a distance to the nearest obstacle via ultrasonic sensor HC-SR04 and recognizes human faces by Pi camera, OpenCV library, and Adam Geitgey module. Objects are found by Bluetooth devices of classes 1-3 and iBeacons. Intelligent eHealth agents cooperate with one another in a smart city mesh network via MQTT and BLE protocols. In the second project, B&VIs are supported to play golf. Golf flagsticks have sound marking devices with a buzzer, NodeMcu Lua ESP8266 ESP-12 WiFi board, and WiFi remote control. In the third project, an assistive device supports the orientation of B&VIs by measuring the distance to obstacles via Arduino Uno and HC-SR04. The distance is pronounced through headphones. In the fourth project, the soft-/hardware complex uses Raspberry Pi 3 B and Bytereal iBeacon fingerprinting to uniquely identify the B&VI location at industrial facilities.

scholarly journals The Impact of Assistive Device Use on Disability and Depression Among Older Adults With Age-Related Vision Impairments

2006 ◽  
Vol 61 (5) ◽  
pp. S274-S280 ◽  
Author(s):  
A. Horowitz ◽  
M. Brennan ◽  
J. P. Reinhardt ◽  
T. MacMillan
Keyword(s):  
Older Adults ◽  
Assistive Device ◽  
Age Related ◽  
Device Use ◽  
The Impact

scholarly journals Assistive Device Use in Visually Impaired Older Adults: Role of Control Beliefs

2005 ◽  
Vol 45 (6) ◽  
pp. 739-746 ◽  
Author(s):  
Stefanie Becker ◽  
Hans-Werner Wahl ◽  
Oliver Schilling ◽  
David Burmedi
Keyword(s):  
Older Adults ◽  
Visually Impaired ◽  
Assistive Device ◽  
Control Beliefs ◽  
Device Use

scholarly journals Gait Speed Is Associated with Cognitive Function among Older Adults with HIV

2020 ◽  
Vol 32 (10) ◽  
pp. 1510-1515
Author(s):  
Heather M. Derry ◽  
Carrie D. Johnston ◽  
Chelsie O. Burchett ◽  
Eugenia L. Siegler ◽  
Marshall J. Glesby
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Grip Strength ◽  
Gait Speed ◽  
Well Being ◽  
Assistive Device ◽  
Medical Outcomes ◽  
Age Related ◽  
Survey Results ◽  
Device Use

Objectives: To determine links between objectively and subjectively measured physical function and cognitive function among HIV-positive older adults, a growing yet understudied group with elevated risk for multimorbidity. Methods: At a biomedical research visit, 162 participants completed objective tests of gait speed (4-m walk), grip strength (dynamometer), and cognitive function (Montreal Cognitive Assessment, MoCA) and reported their well-being (Medical Outcomes Study-HIV survey). Results: Those with faster gait speed had better overall cognitive function than those with slower gait speed ( b = 3.98, SE = 1.30, p = .003) in an adjusted regression model controlling for age, sex, race, height, preferred language, and assistive device use. Grip strength was not significantly associated with overall cognitive function. Self-rated cognitive function was weakly related to MoCA scores ( r = .26) and gait speed ( r = .14) but was strongly associated with emotional well-being ( r = .53). Discussion: These observed, expected connections between physical and cognitive function could inform intervention strategies to mitigate age-related declines for older adults with HIV.

DSM-5 alcohol use disorder features among treatment-seeking older adults

2018 ◽  
Vol 64 (4) ◽  
pp. 185-196 ◽  
Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
The Elderly ◽  
Treatment Seeking ◽  
Controlled Clinical Trial ◽  
Dsm 5 ◽  
Wide Range ◽  
And Gender ◽  
International Multicenter

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.

Effects of attentional demand on input device use in younger and older adults

2003 ◽  
Author(s):  
Anne C. McLaughlin ◽  
Wendy A. Rogers ◽  
Arthur D. Fisk
Keyword(s):  
Older Adults ◽  
Input Device ◽  
Attentional Demand ◽  
Device Use

Using a saddle-assistive device equipped with mechanical orthosis for walking of the person with incomplete spinal cord injury

2021 ◽  
pp. 095441192110201
Author(s):  
Akbar Hojjati Najafabadi ◽  
Saeid Amini ◽  
Farzam Farahmand
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Reaction Force ◽  
Assistive Devices ◽  
Assistive Device ◽  
Walking Ability ◽  
Vertical Force ◽  
Incomplete Spinal Cord Injury ◽  
Combined Application ◽  
Cord Injury

The majority of the people with incomplete spinal cord injury lose their walking ability, due to the weakness of their muscle motors in providing torque. As a result, developing assistive devices to improve their conditionis of great importance. In this study, a combined application of the saddle-assistive device (S-AD) and mechanical medial linkage or thosis was evaluated to improve the walking ability in patients with spinal cord injury in the gait laboratory. This mobile assistive device is called the saddle-assistive device equipped with medial linkage or thosis (S-ADEM). In this device, a mechanical orthosis was used in a wheeled walker as previously done in the literature. Initially, for evaluation of the proposed assistive device, the experimental results related to the forces and torques exerted on the feet and upper limbs of a person with the incomplete Spinal Cord Injury (SCI) during walking usingthe standard walker were compared with an those obtained from using the S-ADEM on an able-bodied subject. It was found that using this combination of assistive devices decreases the vertical force and torque on the foot at the time of walking by 53% and 48%, respectively compared to a standard walker. Moreover, the hand-reaction force on the upper limb was negligible instanding and walking positions usingthe introduced device. The findings of this study revealed that the walking ability of the patients with incomplete SCI was improved using the proposed device, which is due to the bodyweight support and the motion technology used in it.

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