Impact of assistance on the quality of life of older adults with activities of daily living & instrumental activities of daily living disabilities
Citation:
KUMAR, PRAKASH, Impact of assistance on the quality of life of older adults with activities of daily living & instrumental activities of daily living disabilities, Trinity College Dublin.School of Medicine.MEDICAL GERONTOLOGY, 2018Download Item:
Abstract:
As populations age, incidence of functional limitation including disability in Activities of Daily Living and Instrumental Activities of Daily Living increases. This creates a higher level of demand for technological and personal assistance in the form of technological and personal assistance. Functional limitations and disability can impact negatively on older adults? quality of life. This thesis, using data from a nationally representative sample examined, whether type of ADL/IADL assistance affected the quality of life of older adults.
The study was based on data collected from the first wave of The Irish Longitudinal Study on Ageing (TILDA), a nationally representative study of older adults in the Republic of Ireland, and included 4,904 community dwelling adults aged 60 years and older. Measurements included activities of daily living (ADLs), Instrumental activities of daily living (IADLs), and quality of life measured using the previously validated CASP-19. Information was collected on the types of assistance used with limitations in ADL/IADL. The statistical analysis included descriptive analysis and ordinary least-squares regression models were used to examine the influence of different types of assistance, individually and in combination with others, on the quality of life of older adults.
The overall weighted prevalence of disability in ADL was 11.8%, compared to 10.4% in IADL. More individuals reported difficulty with one ADL task (7.4%) than ≥ 2 ADL (4.4%), whereas a higher proportion of respondent reported difficulty in ≥ 2 IADL (5.6%) than one ADL task (4.8%). The ADL disabilities were most commonly reported for dressing and least commonly reported for eating, while, the IADL disabilities most commonly reported were household chores and least for using a telephone.
Among those with ADL disability, a higher percentage reported using technological assistance (19%) than personal assistance (9%). Those who had both ADL and IADL disability were more likely to use both types of assistance together (43%). Similarly, the combination of both types of assistance (43%) adopted was clearly related to the severity of disability (≥ 2 IADL). The ordinary least-squares regression models showed that after adjustment to health and socio-demographic factors, both technological and personal assistance together (β: 0.44; 95% CI: 0.15, 0.72) were associated with a higher quality of life (p<0.01) among older adults with ADL disability.
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Grant Number
Government of Ireland International Educational Scholarship Programme 2015/2016
Government of Ireland
Author's Homepage:
http://people.tcd.ie/kumarprDescription:
APPROVED
Author: KUMAR, PRAKASH
Advisor:
Kenny, RosePublisher:
Trinity College Dublin. School of Medicine. CentreFor Medical GerontologyType of material:
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Full text availableKeywords:
ADL & IADL Disabilities, Assistance, Quality of lifeMetadata
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