scholarly journals The Use of Mobility Devices and Personal Assistance: A Joint Modeling Approach

2019 ◽  
Vol 5 ◽  
pp. 233372141988529
Author(s):  
Hongdao Meng ◽  
Lindsay J. Peterson ◽  
Lijuan Feng ◽  
Debra Dobbs ◽  
Kathryn Hyer
Keyword(s):  
Older Adults ◽  
Joint Modeling ◽  
Personal Assistance ◽  
Independent Variables ◽  
Recursive Bivariate Probit ◽  
Mobility Devices ◽  
Similarities And Differences ◽  
Device Use ◽  
Mobility Device ◽  
Mobility Difficulty

Objective: To examine whether mobility device use substitutes for personal assistance among U.S. older adults. Method: Using the National Health and Aging Trends Study, we identified 3,211 community-living older adults (aged 65 and older) who reported mobility difficulties at baseline. We used recursive bivariate probit models to simultaneously estimate the effect of covariates on the likelihood of using (a) mobility devices and (b) personal assistance to accommodate mobility difficulty. Independent variables included age, gender, race, physical/mental health status, cognition, and comorbidities. Results: Predictors of the use of personal assistance and mobility devices exhibit important similarities and differences. Device use reduced the odds of receiving personal assistance by 50% (odds ratio [OR] = 0.50, 95% confidence interval [CI] = [0.29, 0.86]). Discussion: Findings suggest device use substitutes for personal assistance. Practitioners and policymakers should promote the appropriate use of mobility devices while recognizing the importance of assistance with some groups and the potential of increasing mobility device use.

scholarly journals Mobility Device Use in Older Adults and Incidence of Falls and Worry About Falling: Findings from the 2011-2012 National Health and Aging Trends Study

2015 ◽  
Vol 63 (5) ◽  
pp. 853-859 ◽  
Author(s):  
Nancy M. Gell ◽  
Robert B. Wallace ◽  
Andrea Z. LaCroix ◽  
Tracy M. Mroz ◽  
Kushang V. Patel
Keyword(s):  
Older Adults ◽  
National Health ◽  
Device Use ◽  
Mobility Device

scholarly journals Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review (Preprint)

2019 ◽  
Author(s):  
Alice Pellichero ◽  
Lisa K Kenyon ◽  
Krista Lynn Best ◽  
Éric Sorita ◽  
Marie-Eve Lamontagne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Functioning ◽  
Cognitive Functions ◽  
Research Network ◽  
International Classification Of Functioning ◽  
Synthesis Design ◽  
Mobility Devices ◽  
Review Protocol ◽  
Device Use ◽  
Mobility Device

BACKGROUND Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use. OBJECTIVE The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use. METHODS A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied. RESULTS This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019. CONCLUSIONS Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools. CLINICALTRIAL PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/16534

scholarly journals Influence of Cognitive Functioning on Powered Mobility Device Use: Protocol for a Systematic Review

10.2196/16534 ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. e16534 ◽  
Author(s):  
Alice Pellichero ◽  
Lisa K Kenyon ◽  
Krista Lynn Best ◽  
Éric Sorita ◽  
Marie-Eve Lamontagne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Functioning ◽  
Cognitive Functions ◽  
Research Network ◽  
International Classification Of Functioning ◽  
Synthesis Design ◽  
Mobility Devices ◽  
Review Protocol ◽  
Device Use ◽  
Mobility Device

Background Power mobility devices (PMD) are critical to achieving independent mobility and social participation for many individuals who have trouble walking. Provision of PMDs is complex, with cognitive functioning expressed by clinicians as a major concern. Even if PMD use can be predicted by the level of cognitive functioning, outcome tools used to assess readiness do not consider how cognitive functioning may affect PMD use. Objective The specific aims of this review are to identify existing assessments used to assess cognitive functioning and PMD use, classify cognitive functions that are identified within existing assessments related to PMD use, and explore the relationships between cognitive functioning (ie, executive functions and attention) and PMD use. Methods A systematic review will be conducted using the electronic databases MEDLINE (Ovid), CINAHL, Embase, PsycINFO (Ovid), and Web of Science based on the concepts of PMD performance and capacity, and cognitive functioning. To be included, studies must have: a sample of PMD users (inclusive of age and diagnoses), an assessment of cognitive functioning, and an assessment of PMD capacity or performance. The International Classification of Functioning, Disability and Health will be used to classify cognitive functions. Study quality will be assessed using the Mixed Methods Appraisal Tool. Qualitative and quantitative studies will be analyzed in a complementary manner depending on their designs; a result-based convergent synthesis design will be applied. Results This proposed systematic review protocol has been registered in PROSPERO (CRD42019118957). It was funded by the Quebec Rehabilitation Research Network and approved on February 2019. Conclusions Results will inform the development of a PMD driving program that aims to enhance cognition. The results of this study will enhance understanding of the influence of cognitive functioning on PMD use and will support the clinical practice in choosing appropriate evaluative tools. Trial Registration PROSPERO CRD42019118957; https://www.crd.york.ac.uk/PROSPERO/display_record.php? RecordID=118957 International Registered Report Identifier (IRRID) DERR1-10.2196/16534

scholarly journals What Factors Predict Falls in Older Adults Living in Nursing Homes: A Pilot Study

2018 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Aditi Datta ◽  
Rahul Datta ◽  
Jeananne Elkins
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Cognitive Function ◽  
Significant Relationship ◽  
Gait Speed ◽  
Nursing Home Residents ◽  
Independent Variables ◽  
Environmental Causes ◽  
Mobility Device ◽  
Fear Of Falls

Background: In community-dwelling older adults, slow gait speed is linked to falls; however, little is known about the use of gait speed to predict falls in nursing home residents. The prevalence of risk factors for falls in nursing home residents is multifactorial. Objective: The purpose of this study was to examine the relationship between falls and multiple factors such as age, sex, gait speed, mobility device, fear of falling, cognitive function, medication, and environmental causes in a nursing home setting. Material and Methods: Participants were recruited from a nursing home. Independent variables such as age, sex, gait speed for 40 feet, use of a mobility device, fear of falls, cognitive function, medication, and environmental causes of falls were measured and recorded. The dependent variable was falls. Participants were followed-up for a period of six months for falls. Falls were documented from the computerized medical records at the facility. Results: Five of the 16 participants had falls in the follow-up period. Exact logistic regression, bivariate analysis, showed no significant relationship between falls and the independent variables of age, sex, gait speed, mobility device, fear of falls, cognitive function, and medication. More than 30% of recorded falls had an environmental cause, which was significant at p = 0.0005. Conclusion: Environmental causes had a significant relationship with falls in nursing home participants. Environment hazard monitoring is therefore important to ensure the safety of nursing home residents.

scholarly journals Gender Differences in Mobility Device Use Among U.S. Older Adults

2016 ◽  
pp. gbw081 ◽  
Author(s):  
Lindsay J. Peterson ◽  
Hongdao Meng ◽  
Debra Dobbs ◽  
Kathryn Hyer
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Device Use ◽  
Mobility Device

scholarly journals Relationships between Cognitive Functioning and Powered Mobility Device Use: A Scoping Review

2021 ◽  
Vol 18 (23) ◽  
pp. 12467
Author(s):  
Alice Pellichero ◽  
Lisa K. Kenyon ◽  
Krista L. Best ◽  
Marie-Eve Lamontagne ◽  
Marie Denise Lavoie ◽  
...  
Keyword(s):  
Cognitive Functioning ◽  
Scoping Review ◽  
Cognitive Outcomes ◽  
Planning Problem ◽  
Mobility Limitations ◽  
Mobility Devices ◽  
Visuospatial Perception ◽  
Device Use ◽  
Mobility Device

Background. Powered mobility devices (PMD) promote independence, social participation, and quality of life for individuals with mobility limitations. However, some individuals would benefit from PMD, but may be precluded access. This is particularly true for those with cognitive impairments who may be perceived as unsafe and unable to use a PMD. This study explored the relationships between cognitive functioning and PMD use. The objectives were to identify cognitive functions necessary to use a PMD and describe available PMD training approaches. Methods. A scoping review was undertaken. Results. Seventeen studies were included. Four examined the predictive or correlational relationships between cognitive functioning and PMD use outcomes with intellectual functions, visual and visuospatial perception, attention, abstraction, judgement, organization and planning, problem solving, and memory identified as having a relation with PMD use outcome in at least one study. Thirteen others studied the influence of PMD provision or training on users’ PMD capacity and cognitive outcomes and reported significative improvements of PMD capacities after PMD training. Six studies found improved cognitive scores after PMD training. Conclusions. Cognitive functioning is required to use a PMD. Individuals with heterogeneous cognitive impairment can improve their PMD capacities. Results contribute to advancing knowledge for PMD provision.

scholarly journals Demographic Profile of Older Adults Using Wheeled Mobility Devices

2011 ◽  
Vol 2011 ◽  
pp. 1-11 ◽  
Author(s):  
Amol M. Karmarkar ◽  
Brad E. Dicianno ◽  
Rosemarie Cooper ◽  
Diane M. Collins ◽  
Judith T. Matthews ◽  
...  
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Residential Setting ◽  
Human Engineering ◽  
Related Factors ◽  
Engineering Research ◽  
Mobility Devices ◽  
Health Related ◽  
Mobility Device ◽  
Wheeled Mobility

The purpose of this study was to determine whether the use of wheeled mobility devices differed with respect to age, gender, residential setting, and health-related factors among older adults. A total of 723 adults ageing 60 and older are representing three cohorts, from nursing homes, the Center for Assistive Technology, and the wheelchair registry from the Human Engineering Research Laboratories. Wheeled mobility devices were classified into three main groups: manual wheelchairs, power wheelchairs, and scooters. Our results found factors including age, gender, diagnosis, and living settings to be associated with differences in use of manual versus powered mobility devices. Differences in use were also noted for subtypes of manual (depot, standard, and customized) and powered (scooter, standard, and customized) mobility devices, on demographic, living arrangements, and health-related factors. Consideration of demographic, health-related, and environmental factors during the prescription process may help clinicians identify the most appropriate mobility device for the user.

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