To promote healthy aging in older nursing home (NH) residents, it is important to identify factors that impact functional performance. Using the Disablement Process Model, it was hypothesized that variables from all levels of the model would significantly impact the ability of a NH resident to get up from a chair.
A stepwise multiple logistic regression model was used to test the impact of sociodemographic, physiologic, physical, psychosocial, and environmental factors on chair rise.
Analysis indicated that three factors, strength, gait, and self-efficacy, were significantly associated with chair-rise ability and together explained approximately 64% of the variance and successfully classified 88.4% of the chair-rise cases.
These findings indicate that identifying physical and psychosocial variables early in the disablement process will help health care providers tailor medical and restorative care interventions that may help older adults maintain the ability to chair rise.
[Show abstract][Hide abstract] ABSTRACT: Beliefs about personal capability have been shown to affect performance. Lowered ability expectations due to older age may themselves contribute to a decline in performance. In the present study, we investigated whether enhancing older adults' performance expectancies would facilitate the learning of a novel balance task. In Experiment 1, providing older women (71 years) with fabricated feedback indicating that their performance was above average reduced their ability-related concerns and nervousness, and resulted in more effective balance learning, compared with a control group. In Experiment 2, also involving older women (64 years), a simple statement made at the beginning of practice, suggesting that their peers usually do well on that task, enhanced participants' self-efficacy and learning of the task. These results demonstrate that motor performance and learning in older age can be influenced quickly and positively by enhancing individuals' ability perceptions.
Psychology and Aging 03/2012; 27(1):14-21. DOI:10.1037/a0025718 · 2.73 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The benefits of exercise are irrefutable, yet a disparity exists between research and center-based aged care. This study investigates the feasibility of a staff-delivered respite day care exercise program and the benefits to center clients. A single-group repeated-measures evaluation was undertaken of an evidenced-based exercise program specific to low-functioning older adults (N = 23, 78.35 ± 1.53 years). Muscle function and physical performance was measured after 0, 16, and 24 sessions. Program delivery by staff was assessed for feasibility, safety, and sustainability. The program had a 69.6% retention rate and participants had increased capacity in all measures. Physical performance measures achieved significance (p ≤ .002), except for the habitual walk (p = .061). Training was safely and competently delivered by center staff. This study shows that a center-based staff-delivered exercise program can be delivered safely and with measurable benefits for low-functioning participants accessing respite day care.
[Show abstract][Hide abstract] ABSTRACT: Purpose of the study:
In examining the ability of resilience, or the ability to navigate adversity in a manner that protects well-being, to buffer the impact of chronic disease onset on disability in later life, the authors tested 2 hypotheses: (a) People with greater levels of resilience will have lower levels of disability and (b) resilience will moderate the association between the onset of a new chronic condition and subsequent disability.
Design and methods:
This study used a sample of 10,753 Americans between the ages of 51 and 98, derived from 3 waves of the Health and Retirement Study (2006-2010). Ordinary least squares regression was used to estimate the impact of resilience on changes in disability (measured as difficulty with activities of daily living [ADLs] and instrumental activities of daily living [IADLs]) over a 2-year period using a simplified resilience score.
Resilience protects against increases in ADL and IADL limitations that are often associated with aging. Resilience mitigates a considerable amount of the deleterious consequences related to the onset of chronic illness and subsequent disability.
Our results support our hypotheses and are consistent with claims that high levels of resilience can protect against the negative impact of disability in later life.
The Gerontologist 07/2014; DOI:10.1093/geront/gnu068 · 3.21 Impact Factor
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