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The influence of personal care and assistive devices on the measurement of disability

Bibliographic Data

ID4798641
AuthorsEmily M Agree (0000-0002-3505-4055, Johns Hopkins University, corresponding author)
Year1999
Volume48
Issue4
Pages427-443
Publication date1999-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/s0277-9536(98)00369-4
PMID10075170
OpenAlexW1981019362
LanguageEN
Citations received36
References cited25

The goal of all long-term care arrangements is to reduce the disabling effects of physical impairments and functional limitations. However, the means with which individuals cope with disability may not be equivalent and these differences may influence self-reports of disability in surveys. This paper examines assistive devices and personal care as factors in the measurement of disability among persons aged 70 and older in the community using the 1994 Survey of Asset and Health Dynamics of the Oldest Old (AHEAD) in the US. The use of assistive technology differs from personal care on a fundamental level. It does not require the ongoing cooperation or coordination of other people and therefore increases the sense of independence with which a disabled individual can meet their long-term care needs. Results indicate that older individuals can expect to spend most of their remaining years in good functional health, but up to two-thirds of disabled years will be spent with unmet ADL needs. Among those who are disabled, those who use only equipment and no personal care report less residual difficulty with mobility than those who use personal assistance (either alone or in combination with equipment) but the use of equipment alone is most effective for those with the least severe limitations

Activities of daily living · Aging in place · Asset (computer security · Assistive technology · Computer security · Family medicine · Health care · Independence (probability theory · Independent living · Long-term care · Personal care · Physical therapy · Computer Science · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology · Gerontology

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Unique citing works36
Citations per year1,38
Citation span2000 - 2026 (27)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 36

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