The Heterogeneity of Disability Trajectories in Later Life
Dynamics of Activities of Daily Living Performance Among Nursing Home Residents
Bibliographic Data
| ID | 12797366 |
|---|---|
| Authors | Danilo Bolano (0000-0001-8698-0633, The University of Queensland, Brisbane, Australia, corresponding author), André Berchtold (0000-0002-0711-2254, University of Lausanne), Elisabeth Burge (University of Applied Sciences, Western Switzerland, Geneva, Switzerland) |
| Year | 2018 |
| Volume | 31 |
| Issue | 7 |
| Pages | 1315-1336 |
| Publication date | 2018-05-29 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Aging and Health (JOURNAL) |
| Journal identifiers | ISSN: 1552-6887 • E-ISSN: 0898-2643 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0898264318776071 |
| PMID | 29808732 |
| OpenAlex | W2805823878 |
| Language | EN |
| Citations received | 3 |
| References cited | 55 |
Objective: This study investigated the variability in activities of daily living (ADL) trajectories among 6,155 nursing home residents using unique and rich observational data. Method: The impairment in ADL performance was considered as a dynamic process in a multi-state framework. Using an innovative mixture model, such states were not defined a priori but inferred from the data. Results: The process of change in functional health differed among residents. We identified four latent regimes: stability or slight deterioration, relevant change, variability, and recovery. Impaired body functions and poor physical performance were main risk factors associated with degradation in functional health. Discussion: The evolution of disability in later life is not completely gradual or homogeneous. Steep deterioration in functional health can be followed by periods of stability or even recovery. The current condition can be used to successfully predict the evolution of ADL allowing to set and target different care priorities and practices
Activities of daily living · Homogeneous · Long-term care · Nursing homes · Observational study · Physical therapy · Frailty in Older Adults · Geriatric Care and Nursing Homes · Health disparities and outcomes · Mathematics · Medicine · Nursing · Psychology · Gerontology
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| Unique citing works | 3 |
|---|---|
| Citations per year | 0,43 |
| Citation span | 2019 - 2022 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 3 |