Who cares? Provision of Care and Assistance Among Older Persons in the Philippines

Objective: This study aims to examine the provision of assistance among older persons in the Philippines who experience difficulty with activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Method: Data for this research are drawn from the 2007 Philippine Study on Aging (PSOA). Cross-tabulations and regression analyses are used to identify who provides assistance to older Filipinos. Results: The study shows that the Filipino family, particularly spouse and daughters, plays an important role in providing assistance to older Filipinos who need help in carrying out functional activities. This provision of caregiving, however, follows a gendered pattern. Specifically, the spouse provides assistance to older men, whereas daughters provide assistance to older women. Grandchildren and noncoresident family members, to some extent, are also active in providing care to older Filipinos. Discussion: The Filipino family remains faithful to its filial duty toward older persons, but who provides care and the way it is provided are likely to change due to the demographic changes and values shifts that have swept the country.

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Effects of Dance Therapy on Balance and Risk of Falls in Older Persons

Innovation in Aging ◽

10.1093/geroni/igaa057.756 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 234-235

Author(s):

Esha Chakravarty ◽

Indrani Chakravarty ◽

Ipsito Chakravarty ◽

Prasenjit Bhattacharjee

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Day Care ◽

Dance Therapy ◽

Daily Living ◽

Older Persons ◽

Healthy Ageing ◽

Risk Of Falls ◽

Day Care Centres ◽

Therapy Sessions

Abstract Loss of balance and risk of falls is a major problem in older persons. Literature shows increasing use of yoga practices and dance therapy across Indian oldage homes and day care centres to improve balance and reduce risk of falls in older persons. Aim of this study is to evaluate the effects of dance therapy with focus on therapeutic movements derived from Indian classical dances on balance and risk of falls in older adults of Day Care Centres in Calcutta Metropolitan Institute of Gerontology, under Ministry of Social Justice and Empowerment, Govt. of India. Total of 24 older adults across 2 day care centres participated in the study attending dance therapy sessions for 3 months. All of them self reported problems of balance and repeated falls alongwith difficulties in performing Activities of Daily Living. Twenty one of them were females and 3 males. The mean age of the participants was 75.5 years. Limits of Stabililty (LOS) was used to measure balance and pre tests and post tests were performed. Results showed that the Limits of Stability were significantly higher (17.5%) in older persons after participating in the dance therapy sessions. This study supports that dance therapy using movements derived from Indian classical dance forms can support older persons to function with reduced risk of falls, improved balance, safely carry out mobility tasks and perform better Activities of Daily Living . Further studies can show how dance therapy can facilitate healthy ageing and influence State policies on healthy ageing.

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Longitudinal Declines in Instrumental Activities of Daily Living in Stable and Progressive Mild Cognitive Impairment

Dementia and Geriatric Cognitive Disorders ◽

10.1159/000365587 ◽

2014 ◽

Vol 39 (1-2) ◽

pp. 12-24 ◽

Cited By ~ 6

Author(s):

Julia J. Hsiao ◽

Po H. Lu ◽

Joshua D. Grill ◽

Edmond Teng

Keyword(s):

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Activities Of Daily Living ◽

Disease Progression ◽

Daily Living ◽

Cross Sectional ◽

Functional Deficits ◽

Functional Activities ◽

Instrumental Activities ◽

Cross Sectional Studies

Background: Previous cross-sectional studies suggest that assessments of instrumental activities of daily living (IADLs) may be useful for operationalizing the differences in functional deficits seen in mild cognitive impairment (MCI) and dementia. However, their utility for longitudinal changes in IADLs in the transition between MCI and dementia remains unclear. Methods: We analyzed longitudinal IADL data with the Functional Activities Questionnaire (FAQ) in stable (MCI-S; n = 1,318) or progressive (MCI-P; n = 1,108) MCI patients. Results: Larger increases in FAQ scores were seen in the MCI-P group across a 14.5-month interval, but overlapping distributions in the two groups yielded poorer discriminatory power than prior cross-sectional reports. Conclusion: Our findings emphasize the difficulties in operationalizing the criterion of ‘essentially intact' IADLs in MCI, which may complicate the interpretation of disease progression in MCI treatment trials. © 2014 S. Karger AG, Basel

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The Assessment of Functional Age Using “Activities of Daily Living” Performance Tests: A Study of Korean Women

Journal of Aging and Physical Activity ◽

10.1123/japa.3.1.39 ◽

1995 ◽

Vol 3 (1) ◽

pp. 39-53 ◽

Cited By ~ 32

Author(s):

Hee Sik Kim ◽

Kiyoji Tanaka

Keyword(s):

Activities Of Daily Living ◽

Older Women ◽

Older Adult ◽

Daily Living ◽

Principal Component ◽

Performance Tests ◽

Korean Women ◽

Principal Component Score ◽

Performance Tasks ◽

Adl Performance

The purpose of this study was to assess the extent to which a battery of 24 activities of daily living (ADL) performance tasks could be used to determine functional age in a sample of older women. The subjects were 253 older adult Korean women, aged 60 to 91 years. All subjects completed a comprehensive battery of 24 performance tests related to common activities of daily living. Correlations between the measures were computed, and principal component analysis was applied to the 24 × 24 correlation matrix. A principal component score was computed for each subject and was found to decrease significantly with advancing age. Multiple regression analysis revealed that out of the initial 24 variables, 5 variables accounted for 81% of the variability. An equation was developed to determine ADL age; the equation was considered useful for the assessment of daily living activities of older adult Korean women.

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Contextual income and incidence of disability

Revista de Saúde Pública ◽

10.11606/s1518-8787.2019053000659 ◽

2019 ◽

Vol 53 ◽

pp. 11

Author(s):

Ana Lúcia Danielewicz ◽

Eleonora D’Orsi ◽

Antonio Fernando Boing

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

The Elderly ◽

Lower Income ◽

Regression Analyses ◽

Elderly Individuals ◽

Instrumental Activities ◽

The Subject ◽

Individual Variables ◽

Elderly Living

OBJECTIVE: Evaluate the association between contextual income and the incidence of disability in basic and instrumental activities of daily living. METHODS: This is a cohort study, with sample of elderly individuals (n = 1,196) residing in Florianópolis, state of Santa Catarina, Brazil. The incidence of disabilities was evaluated using reports of difficulty or inability to perform six basic activities of daily living and nine instrumental activities of daily living after four years. Contextual income was obtained from the 2010 Census. We conducted multilevel logistic regression analyses with adjustment models for individual variables. RESULTS: The incidence of disability in basic activities of daily living was 15.8% (95%CI 13.8–17.9) and in instrumental activities of daily living incidence was 13.4% (95%CI 11.6–15.5). We observed significant association between contextual income and incidence of disability in basic activities of daily living. Having as reference the elderly living in the lower income tercile, those who lived in the intermediary terciles and in that of highest income had 37% (95%CI 0.41–0.96) and 21% (95%CI 0.52–1.19) lower chances of developing disability, respectively. For the incidence of disability in instrumental activities of daily living we observed no statistically significant associations. CONCLUSIONS: Contextual income influences the development of disability in basic activities of daily living in the elderly and should be the subject of actions to reduce socioeconomic inequalities and promote longevity with independence.

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Hospitalization and Development of Dependence in Activities of Daily Living in a Cohort of Disabled Older Women: The Women's Health and Aging Study I

The Journals of Gerontology Series A ◽

10.1093/gerona/60.7.888 ◽

2005 ◽

Vol 60 (7) ◽

pp. 888-893 ◽

Cited By ~ 78

Author(s):

C. M. Boyd ◽

Q.-L. Xue ◽

J. M. Guralnik ◽

L. P. Fried

Keyword(s):

Activities Of Daily Living ◽

Women’S Health ◽

Women's Health ◽

Older Women ◽

Daily Living ◽

Aging Study

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Apathy and functional disability in behavioral variant frontotemporal dementia

Neurology Clinical Practice ◽

10.1212/cpj.0000000000000429 ◽

2018 ◽

Vol 8 (2) ◽

pp. 120-128 ◽

Cited By ~ 5

Author(s):

Mônica S. Yassuda ◽

Thais B. Lima da Silva ◽

Claire M. O'Connor ◽

Shailaja Mekala ◽

Suvarna Alladi ◽

...

Keyword(s):

Activities Of Daily Living ◽

Frontotemporal Dementia ◽

Functional Impairment ◽

Cognitive Deficits ◽

Daily Living ◽

Functional Disability ◽

Motor Behavior ◽

Regression Analyses ◽

Behavioral Variant Frontotemporal Dementia ◽

Everyday Function

BackgroundBehavioral variant frontotemporal dementia (bvFTD) has profound consequences on patients and their families. In this multicenter study, we investigated the contribution of cognitive and neuropsychiatric factors to everyday function at different levels of overall functional impairment.MethodsIn a retrospective cross-sectional study, 109 patients with bvFTD from 4 specialist frontotemporal dementia centers (Australia, England, India, and Brazil) were included. The measures administered evaluated everyday function (Disability Assessment for Dementia [DAD]), dementia staging (Clinical Dementia Rating [CDR]), general cognition (Addenbrooke's Cognitive Examination–revised [ACE-R]), and neuropsychiatric symptoms (Neuropsychiatric Inventory [NPI]). Patients were then subdivided according to functional impairment on the DAD into mild, moderate, severe, and very severe subgroups. Three separate multiple linear regression analyses were run, where (1) total DAD, (2) basic activities of daily living (BADL), and (3) instrumental activities of daily living (IADL) scores were dependent variables; ACE-R total score and selected NPI domains (agitation/aggression, euphoria, apathy, disinhibition, irritability, aberrant motor behavior) were used as independent variables. Age, sex, education, and country of origin were controlled for in the analyses.ResultsCognitive deficits were similar across the mild, moderate, and severe subgroups but significantly worse in the very severe subgroup. NPI domain scores (agitation/aggression, euphoria, apathy, disinhibition, irritability, aberrant motor behavior) did not differ across the DAD subgroups. In the multiple regression analyses, a model including ACE-R and NPI apathy explained 32.5% of the variance for total DAD scores. For IADL, 35.6% of the variance was explained by the ACE-R only. No model emerged for BADL scores.ConclusionsCognitive deficits and apathy are key contributors to functional disability in bvFTD but factors underlying impairment in BADLs remain unclear. Treatments targeting reduction of disability need to address apathy and cognitive impairment to ensure greater efficacy, especially in regards to IADLs.

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Subjective memory complaints and difficulty performing activities of daily living among older women in Australia

Australian Occupational Therapy Journal ◽

10.1111/1440-1630.12548 ◽

2018 ◽

Vol 66 (2) ◽

pp. 227-238 ◽

Cited By ~ 2

Author(s):

Reinie Cordier ◽

Yu‐Wei Chen ◽

Lindy Clemson ◽

Julie Byles ◽

Natasha Mahoney

Keyword(s):

Activities Of Daily Living ◽

Older Women ◽

Daily Living ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints

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The Reliability and Validity of the Safety Assessment of Function and the Environment for Rehabilitation (SAFER Tool)

British Journal of Occupational Therapy ◽

10.1177/030802269806100309 ◽

1998 ◽

Vol 61 (3) ◽

pp. 127-132 ◽

Cited By ~ 26

Author(s):

Lori Letts ◽

Sheri Scott ◽

Jill Burtney ◽

Linda Marshall ◽

Martha McKean

Keyword(s):

Cognitive Impairment ◽

Activities Of Daily Living ◽

Daily Living ◽

Safety Assessment ◽

Reliability And Validity ◽

Predictive Ability ◽

Retest Reliability ◽

Functional Activities ◽

Limited Variation ◽

Test Retest Reliability

The Safety Assessment of Function and the Environment for Rehabilitation (SAFER Too)) was developed to assess people's abilities to manage functional activities safety within their homes. The results of a study to evaluate the instruments inter-rater and test-retest reliability and construct validity are reported. Reliability was evaluated using kappa for each dichotomous item. For inter-rater reliability, 59 of 66 items had acceptable reliability. For test-retest reliability, 63 of 70 items had acceptable kappa scores. For items where kappa could not be calculated because of limited variation between raters, percentage agreement was over 80%. For validity, higher SAFER Tool scores (that is, more safety problems) were hypothesised to be associated with less independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) and more cognitive impairment. The correlation between SAFER Tool scores and cognitive impairment supported this hypothesis. The results of the correlations with ADL and IADL scores were less clear. This could be attributed to caregivers' assistance with activities which might have reduced risk, and generally limited variation in ADL scores. The reliability results from this study are positive. Further research to assure the SAFER Tools validity and predictive ability are needed.

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