Prevalence and correlates of depressive symptoms among United States adults with disabilities using assistive technology.
ABSTRACT To estimate the prevalence of current depressive symptoms (CDS) among adults that reported disabilities requiring the use of assistive technology (AT) and those that did not, and to examine the sociodemographic, comorbidity, health behavior, and social support correlates of this condition in adults who use AT.
Data from the 2006 Behavioral Risk Factor Surveillance System, a standardized telephone survey among U.S. adults, were analyzed (n=195,033). The Patient Health Questionnaire diagnostic algorithm was used to identify CDS.
AT users were significantly more likely than AT non-users to have CDS (age-standardized: 30.4% vs. 7.4%). Among AT users, there was a dose-response relationship between depression severity and increased prevalence of health conditions, obesity, smoking, and physical inactivity. In the full covariate logistic regression model, the strongest sociodemographic variables associated with CDS among AT users were age and employment status. Other variables strongly associated with CDS were lack of social support and anxiety.
An integrated approach to health care should be taken with adults who use AT. AT service providers, primary health care providers, and other care givers should be alert to the possibility of depression in AT users; and opportunities to prevent, detect, and treat depression among this population should not be missed.
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ABSTRACT: Background: Depression is a potential risk factor for mortality among the aged and it is also associated with other chronic diseases and unhealthy lifestyles that may also affect mortality. The purpose of this study was to investigate the association between depressive symptoms and mortality, controlling for health, nutritional status, and life-style factors.Methods: A cohort of elderly people (N = 167) was followed-up for ten years. Information on socio-demographic characteristics, medical history, smoking, and alcohol consumption was collected. The primary outcome was all-cause mortality; the secondary outcome was cancer-specific mortality. The Geriatric Depression Scale (GDS-15) was used to assess depression. Using a multivariable Cox proportional hazards regression, we examined the association between depressive symptoms and mortality.Results: Elderly people with depression (scoring above the depression cut-off of 7) had a 53% increased risk of mortality (relative risk (RR) 1.53; 95%CI: 1.05–2.24) compared to non-depressed subjects. The combination of depressive symptoms with smoking was associated with a particularly higher risk of mortality (RR: 2.61; 95%CI: 1.28–5.31), after controlling for potential confounders.Conclusions: Depressive symptoms are associated with a significantly increased risk of all-cause mortality. The combination of depressive symptoms and smoking shorten life expectancy among the aged.
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ABSTRACT: This study aimed to develop and assess the reliability of the Korean version of the Psychosocial Impact of Assistive Devices Scale (K-PIADS). Experts and researchers in the field of assistive technology carried out the original PIADS with a rigorous translation process. To this end, comprehensive measures were taken, including preliminary translation, reverse translation, verification, and expert panel review. Forty-eight people who are currently using an assistive technology (AT) device participated in the validation phase of this study. Findings suggested that reliability for a K-PIADS was very high (micro = 0.94). The findings of this study indicated that the result could be applied to psychosocial evaluation related to the quality of life of AT device users with disabilities. Replication studies are warranted to further validate K-PIADS.Assistive technology: the official journal of RESNA 02/2014; 26(1):45-50. DOI:10.1080/10400435.2013.796502 · 0.51 Impact Factor
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ABSTRACT: Abstract Purpose: To evaluate a new computer-based environmental control system, Subvenio, in terms of its physical and psychological impact in a single case study of a 46-year-old woman with a severe physical disability, tetraplegia. Expectations of the system and factors relating to successful Subvenio use were also sought. Method: A longitudinal questionnaire measured function (BI; FAI), mental health and wellbeing (GHQ-12; WHO-5) 6 weeks before, and 10 and 26 weeks after Subvenio installation. Expectations and Subvenio experience were explored through open-ended questions. Daily assessment of mood and Subvenio use was also recorded for a one-week period in-between each time point. Results: Data obtained did not suggest changes in global functioning or emotional wellbeing whilst activity increased for specific everyday tasks such as turning on the lights and television. Qualitatively, other benefits of Subvenio were identified such as independence and less reliance on carers. Conclusions: Computer-based assistive technology (AT) points to qualitative benefits for this individual, encouraging further research with larger samples. Various factors facilitated Subvenio use and the benefits derived from it, including device factors and personal characteristics (e.g. pain). Healthcare and service providers should communicate with AT/environmental control system users about these factors before and during provision to maximise benefits and limit AT abandonment. Implications for Rehabilitation One implication from this study is that AT development should focus on the factors influencing successful AT use. In this study notably, optimism, expectations of AT, pain, symptom changes and service delivery are all highlighted. Communication between AT service providers and AT users is encouraged to prevent unrealistic expectations of AT equipment, and such communication should continue throughout AT use to ensure the equipment is still meeting the user needs. An integration of quantitative and qualitative methods of data collection is encouraged in order to fully understand the relationship between AT/ECS and physical and psychological outcomes due to the differences yielded. As seen in our data, ECS has the potential to save money and time with reports of reduced care received and reduced negative attitudes to receiving care. The response of carers to this requires further research so that their perception and experience of AT/ECS is taken into account.Disability and rehabilitation. Assistive technology 01/2013; DOI:10.3109/17483107.2012.749427