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Assessing Motor Function in Frail Older Adults in Their Home Settings

Challenges, Strategies and Recommendations

Bibliographic Data

ID15480361
AuthorsLijuan Yin (0000-0001-7758-0363, University of Illinois Urbana-Champaign, corresponding author), María Mercedes Ferreira Cáceres (0000-0002-5291-5283, University of Illinois Urbana-Champaign), Maria Caceres (Institute for Health Research and Policy, University of Illinois Chicago, Chicago, IL 60608, USA), Jordan Skowronski (0000-0003-1909-3393, University of Illinois Urbana-Champaign), Naoko Muramatsu (University of Illinois Urbana-Champaign, corresponding author)
Year2023
Volume20
Issue15
Pages6515-6515
Publication date2023-08-03
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20156515
PMID37569055
OpenAlexW4385555865
LanguageEN
Citations received1
References cited42

Assessing motor competence is essential for evaluating the effectiveness of physical activity interventions that aim to maintain or improve older adults' function. However, assessing motor competence in older adults who have difficulties walking or standing is challenging, because few instruments or guidelines are appropriate for these frail older adults. This article aims to describe challenges in evaluating motor function among frail older adults, discuss strategies for adapting motor function assessments to their home settings, and provide recommendations for future clinical trials so that older adults with ambulatory difficulties can benefit from motor function assessment and physical activity programs. Data came from the baseline assessment of 116 participants of an ongoing clinical trial, "Promoting Seniors' Health with Home Care Aides (Pro-Home)". Our results demonstrated that the Pro-Home study involved participants who would be typically excluded from clinical trials and that the two instruments selected or developed for Pro-Home (Short Physical Performance Battery, Pro-Home Ankle Range of Motion Measure) captured a wide range of lower extremity motor competence with no or few missing data. Recommendations for future studies include knowing the target population thoroughly, developing trust and rapport with all parties involved, and continuously collaborating with interviewers who conduct assessments

Activities of daily living · Competence (human resources · Environmental health · Independent living · Physical medicine and rehabilitation · Physical therapy · Population · Psychological intervention · Assistive Technology in Communication and Mobility · Balance, Gait, and Falls Prevention · Cerebral Palsy and Movement Disorders · Medicine · Nursing · Psychology · Gerontology

  • Effect of Practice of Physical Activity and Satisfaction with Health Status on Older Adults’ Perceived Motor Competence

    Open Access•José Carlos Calero-Cano, María Espada-Mateos et al.•International Journal of…•2025

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    Jack M Guralnik, Luigi Ferrucci et al.•The Journals of Gerontology…•2000

  • Lower-Extremity Function in Persons over the Age of 70 Years as a Predictor of Subsequent Disability

    Jack M Guralnik, Luigi Ferrucci et al.•New England Journal of Medicine•1995

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    Jack M Guralnik, E M Simonsick et al.•Journal of Gerontology•1994

  • Research electronic data capture (Redcap)—A metadata-driven methodology and workflow process for providing translational research informatics support

    Open Access•Paul A Harris, Robert Taylor et al.•Journal of Biomedical Informatics•2009

  • Exercise--it's never too late

    Alan M Jette, Margie E Lachman et al.•American Journal of Public Health•1999

  • Use of a Self-Report-Generated Charlson Comorbidity Index for Predicting Mortality

    Saima Chaudhry, Lei Jin et al.•Medical Care•2005

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    Christopher M Callahan, Frederick W Unverzagt et al.•Medical Care•2002

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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