scholarly journals Methods and Rationale for Using GPS-Derived Objective Technologies to Examine Community Mobility in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 565-565
Author(s):  
Kyle Moored ◽  
Andrea Rosso ◽  
Michelle Carlson ◽  
Breanna Crane
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Objective Measures ◽  
Walking Ability ◽  
Time Data ◽  
Walking Test ◽  
Community Mobility ◽  
Trail Making ◽  
Community Dwelling Older Adults ◽  
Therapy Intervention

Abstract Objective measures of community mobility are advantageous for capturing life-space activity. In contrast to subjective, self-reported approaches, GPS-derived objective measures leverage passive, real-time data collection techniques to mitigate recall bias and minimize participant burden. We present methods to quantify community mobility among a sample of 164 community-dwelling older adults (Mean age=77.3±6.5) from a physical therapy intervention aimed at improving walking ability. We characterized community mobility using activity space metrics (e.g., standard deviation ellipse (SDE) area), timing (e.g., time outside home), and shape (e.g., SDE compactness). We will discuss challenges and solutions to generating these metrics as well as their associations with physical and cognitive performance. Time outside of home and SDE area, but not SDE compactness, were correlated with better performance on the 6-Minute Walking Test and Trail-Making Test (Part B) (ρ=.20-.23, p’s<.05). These findings will aid in understanding which community mobility measures are associated with functional capacity.

Exploring predictors of walking ability among community-dwelling older adults

Aging Health ◽  
2013 ◽  
Vol 9 (2) ◽  
pp. 189-197
Author(s):  
Nikhil Satchidanand ◽  
Chester Fox ◽  
Kimberly Brunton ◽  
Jo Freudenheim ◽  
James Hassett ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Walking Ability ◽  
Community Dwelling Older Adults

scholarly journals Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults

2018 ◽  
Vol 39 (4) ◽  
pp. 435-441
Author(s):  
Elina U. Wells ◽  
Courtney P. Williams ◽  
Richard E. Kennedy ◽  
Patricia Sawyer ◽  
Cynthia J. Brown
Keyword(s):  
Older Adults ◽  
Hospital Admissions ◽  
Community Dwelling ◽  
Medicare Beneficiaries ◽  
Religious Service Attendance ◽  
Factors Associated ◽  
Community Mobility ◽  
Younger Age ◽  
Community Dwelling Older Adults

This study aimed to determine the proportion of older adults who recovered community mobility after hospitalization and identify factors associated with recovery. Using a random sample of 1,000 Medicare beneficiaries ≥65 years of age, we identified individuals with at least one hospitalization over 8.5 years of follow-up. Data were collected at baseline and every 6 months, including demographics, function, social support, community mobility measured by the UAB Life-Space Assessment (LSA), and overnight hospital admissions. Recovery was defined as a LSA score no more than five points lower than the prehospitalization LSA score at last follow-up. Overall, 339 participants ( M age = 75.4 [ SD = 6.6] years, 44% African American, 48% female) had at least one hospitalization. In the full logistic regression model, younger age ( p = .007) and religious service attendance ( p = .001) remained independently associated with recovery. An understanding of factors associated with recovery after hospitalization may provide a target for future interventions.

scholarly journals Motor Function Relating to the Accuracy of Self-Overestimation Error in Community-Dwelling Older Adults

2020 ◽  
Vol 11 ◽  
Author(s):  
Tsubasa Kawasaki ◽  
Ryosuke Tozawa
Keyword(s):  
Older Adults ◽  
Motor Function ◽  
Motor Performance ◽  
Estimation Error ◽  
Community Dwelling ◽  
The Self ◽  
Timed Up And Go ◽  
Walking Test ◽  
Community Dwelling Older Adults ◽  
Step Distance

Background: Older adults often overestimate their motor performance, which represents a serious safety hazard. The cause of this self-overestimation is to date, not yet fully established. Thus, the present study aimed to reveal the factors associated with self-overestimation by focusing on motor function.Methods: This study included 105 community-dwelling older adults [20 males, median (25, 75 percentile) age: 73.00 (69.50, 77.50)]. Participants were assessed for errors in their self-estimation using a two-step test. They estimated the two-step distance that could be reached with maximum effort. Thereafter, they performed the actual two-step action. Participants were comprehensively assessed for motor function by various tests (i.e., 10-meter Walking Test, Timed Up and Go Test, postural stability, and muscle strength). They were then divided into two groups (the self-underestimation or self-overestimation group) and their motor performances were compared. Multiple linear regression analysis was then utilized to investigate the relationship between self-estimation error and motor function.Results: Significant differences were found between the two groups regarding age, weight, actual two-step distance, and the time required for the Timed Up and Go Test and 10-meter Walking Test (p < 0.05). The regression analysis showed that self-estimation error was significantly related to the result of the 10-meter Walking Test (beta = 0.24, p = 0.011).Conclusions: The self-overestimation of motor performance, which is likely to lead to several dangers (i.e., falling or obstacle collision), was related to walking ability. Consequently, the results showed that the 10-meter Walking Test would assist in detecting the self-overestimation of motor performance.

scholarly journals 103 Physical Performance among Community-Dwelling Older People in Senawang

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv18-iv27
Author(s):  
Amirah Fatin Ibrahim ◽  
Gaik Kin Teoh ◽  
Mei Chan Chong ◽  
Maw Pin Tan ◽  
Siti Mariam Muda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Systolic Blood Pressure ◽  
Community Dwelling ◽  
Trail Making Test ◽  
Left Hand ◽  
Hand Grip ◽  
Trail Making ◽  
The Mean ◽  
Community Dwelling Older Adults

Abstract Introduction Older adults may remove themselves voluntarily from social activities due to health concerns and physical limitations that leads to loneliness. Additionally, loneliness is associated with poorer health among older adults. Therefore, this study aims to improve health status among community-dwelling older adults in the sub-urban area through this social participation project by creating awareness on empowering the older adults in managing their health and social life. Methods This is a community-based participatory research (CBPR) applying both quantitative and qualitative approaches. Quantitative data was obtained with a standardized data collection document and obtained during a series of health screening programs. The data was analyzed using descriptive statistics. Key results 87 older adults participated in two health screening events. The mean age was 66 ± 6.5 (SD) years, median BMI was 26.5 (IQR=6.4), mean systolic blood pressure was 141 ± 14.6 (SD) mmHg, median diastolic blood pressure was 78 (IQR=10) mmHg, median timed up and go was 10 (IQR=3) seconds, median trail-making test A was 45.8 (IQR=24.4) seconds, median trail-making test B was 115.8 (IQR=99.3) seconds. The mean hand grip strength for male was 30.76 ± 5.1 (SD) kg for right hand and 31.87 ± 24.5 (SD) kg for left hand. The mean hand grip strength for female was 18.40 ± 5.1 (SD) kg for right hand and 17.14 ± 5.0 (SD) kg for left hand. Discussion The results may represent a portion of community-dwelling older adults who are actively engage in community activities such as religious classes, weddings or events. Therefore, the results showed normal values for all physical and mental tests. However, 61% of the participants were overweight or obese and had higher mean systolic blood pressure suggesting the need for more education and awareness on health management.

Music therapy intervention in community-dwelling older adults with mild cognitive impairment: A pilot study

2019 ◽  
Vol 40 (6) ◽  
pp. 614-619 ◽  
Author(s):  
Claudia Jennifer Domínguez-Chávez ◽  
Carolyn J. Murrock ◽  
Patricia I. Cavazos Guerrero ◽  
Bertha Cecilia Salazar-González
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Pilot Study ◽  
Music Therapy ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
Therapy Intervention

scholarly journals Subjective and objective health predicting mortality and institutionalization: an 18-year population-based follow-up study among community-dwelling Finnish older adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Viljanen ◽  
Marika Salminen ◽  
Kerttu Irjala ◽  
Elisa Heikkilä ◽  
Raimo Isoaho ◽  
...  
Keyword(s):  
Older Adults ◽  
Cox Regression ◽  
Subjective Health ◽  
Population Based ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Walking Ability ◽  
Objective Health ◽  
Risk Of Death ◽  
Community Dwelling Older Adults

Abstract Background Objective health measures, such as registered illnesses or frailty, predict mortality and institutionalization in older adults. Also, self-reported assessment of health by simple self-rated health (SRH) has been shown to predict mortality and institutionalization. The aim of this study was to assess the association of objective and subjective health with mortality and institutionalization in Finnish community-dwelling older adults. Methods In this prospective study with 10- and 18-year follow-ups, objective health was measured by registered illnesses and subjective health was evaluated by simple SRH, self-reported walking ability (400 m) and self-reported satisfaction in life. The participants were categorized into four groups according to their objective and subjective health: 1. subjectively and objectively healthy, 2. subjectively healthy and objectively unhealthy, 3. subjectively unhealthy and objectively healthy and 4. subjectively and objectively unhealthy. Cox regression model was used in the analyses. Death was used as a competing factor in the institutionalization analyses. Results The mean age of the participants (n = 1259) was 73.5 years (range 64.0–100.0). During the 10- and 18-year follow-ups, 466 (37%) and 877 (70%) died, respectively. In the institutionalization analyses (n = 1106), 162 (15%) and 328 (30%) participants were institutionalized during the 10- and 18-year follow-ups, respectively. In both follow-ups, being subjectively and objectively unhealthy, compared to being subjectively and objectively healthy, was significantly associated with a higher risk of institutionalization in unadjusted models and with death both in unadjusted and adjusted models. Conclusions The categorization of objective and subjective health into four health groups was good at predicting the risk of death during 10- and 18-year follow-ups, and seemed to also predict the risk of institutionalization in the unadjusted models during both follow-ups. Poor subjective health had an additive effect on poor objective health in predicting mortality and could therefore be used as part of an older individual’s health evaluation when screening for future adverse outcomes.

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.

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