Community Relocation in Very Old Age / Marianne GRANBOM in American Journal of Occupational Therapy, Vol. 70/2 (mars-avril 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/2 (mars-avril 2016) Titre : Community Relocation in Very Old Age : Changes in Housing Accessibility Type de document : texte imprimé Auteurs : Marianne GRANBOM ; Björn Slaug ; Charlotte Löfqvist ; et al. Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Personne âgée  Condition accès  Habitat  Logement adapté  Ergothérapie Résumé : OBJECTIVE. The objective of this study was to compare environmental barriers, housing accessibility, and usability before and after relocation of very old, single-living people in the community. It also examined whether accessibility improved after relocation compared with a simulated scenario in which participants would have remained in their former dwellings. METHOD. Data from the Swedish part of the longitudinal Enabling Autonomy, Participation, and Well-Being in Old Age: The Home Environment as a Determinant for Healthy Ageing database were analyzed with a before-and-after design (N = 29). Mean time from before to after data collection was 2.6 yr. RESULTS. The number of environmental barriers was significantly reduced after relocation, especially barriers at entrances and in bathrooms. In addition, usability was stable and accessibility improved compared with the simulated scenario of remaining in the former dwelling. CONCLUSION. Community-based moves to new dwellings may lead to fewer environmental barriers and stable levels of usability and accessibility. This relocation is a positive outcome, considering the expected functional decline in old age. Permalink : ./index.php?lvl=notice_display&id=43877 [article] Community Relocation in Very Old Age : Changes in Housing Accessibility [texte imprimé] / Marianne GRANBOM ; Björn Slaug ; Charlotte Löfqvist ; et al. . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/2 (mars-avril 2016) Mots-clés : Personne âgée  Condition accès  Habitat  Logement adapté  Ergothérapie Résumé : OBJECTIVE. The objective of this study was to compare environmental barriers, housing accessibility, and usability before and after relocation of very old, single-living people in the community. It also examined whether accessibility improved after relocation compared with a simulated scenario in which participants would have remained in their former dwellings. METHOD. Data from the Swedish part of the longitudinal Enabling Autonomy, Participation, and Well-Being in Old Age: The Home Environment as a Determinant for Healthy Ageing database were analyzed with a before-and-after design (N = 29). Mean time from before to after data collection was 2.6 yr. RESULTS. The number of environmental barriers was significantly reduced after relocation, especially barriers at entrances and in bathrooms. In addition, usability was stable and accessibility improved compared with the simulated scenario of remaining in the former dwelling. CONCLUSION. Community-based moves to new dwellings may lead to fewer environmental barriers and stable levels of usability and accessibility. This relocation is a positive outcome, considering the expected functional decline in old age. Permalink : ./index.php?lvl=notice_display&id=43877

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Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices / Anna Axmon in The British Journal of Occupational Therapy, Vol. 82 Issue 10 (Octobre 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 646-652 Titre : Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices Type de document : texte imprimé Auteurs : Anna Axmon ; Lisa Ekstam ; Björn Slaug ; Steven M. Schmidt ; Agneta Malmgren Fänge Année de publication : 2019 Article en page(s) : p. 646-652 Note générale : doi.org/10.1177/0308022619853513 Langues : Anglais (eng) Mots-clés : Activities of daily living  data interpretation  statistical longitudinal studies  occupational therapy Résumé : Introduction Using a sum score based on a three-graded response scale for the activities of daily living staircase has previously been found to increase the statistical power compared to dichotomized responses when assessing longitudinal changes in activities of daily living. We aimed to investigate if the statistical power could be further increased by using a four-graded scale. Methods We used data from two previous studies on community-living people to calculate sum scores based on a dichotomized (independent/dependent), a three-graded (independent/partly dependent/dependent), and a four-graded (independent without difficulty/independent with difficulty/partly dependent/dependent) response scale for the activities of daily living staircase. In total, 1818 paired observations (baseline to follow-up) from 482 people were included. Statistical power was estimated for the entire material as well as stratified by follow-up time and baseline activities of daily living using simulations. Results The four-graded scale provided the highest statistical power, particularly for shorter follow-up times and low and high baseline activities of daily living, but had similar statistical power to the three-graded scale for longer follow-up times and medium baseline activities of daily living. Conclusion Adding a second level to “independent” in the activities of daily living staircase improved the detection of changes over time. Permalink : ./index.php?lvl=notice_display&id=85536 [article] Detecting longitudinal changes in activities of daily living (ADL) dependence: Optimizing ADL staircase response choices [texte imprimé] / Anna Axmon ; Lisa Ekstam ; Björn Slaug ; Steven M. Schmidt ; Agneta Malmgren Fänge . - 2019 . - p. 646-652. doi.org/10.1177/0308022619853513 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 646-652 Mots-clés : Activities of daily living  data interpretation  statistical longitudinal studies  occupational therapy Résumé : Introduction Using a sum score based on a three-graded response scale for the activities of daily living staircase has previously been found to increase the statistical power compared to dichotomized responses when assessing longitudinal changes in activities of daily living. We aimed to investigate if the statistical power could be further increased by using a four-graded scale. Methods We used data from two previous studies on community-living people to calculate sum scores based on a dichotomized (independent/dependent), a three-graded (independent/partly dependent/dependent), and a four-graded (independent without difficulty/independent with difficulty/partly dependent/dependent) response scale for the activities of daily living staircase. In total, 1818 paired observations (baseline to follow-up) from 482 people were included. Statistical power was estimated for the entire material as well as stratified by follow-up time and baseline activities of daily living using simulations. Results The four-graded scale provided the highest statistical power, particularly for shorter follow-up times and low and high baseline activities of daily living, but had similar statistical power to the three-graded scale for longer follow-up times and medium baseline activities of daily living. Conclusion Adding a second level to “independent” in the activities of daily living staircase improved the detection of changes over time. Permalink : ./index.php?lvl=notice_display&id=85536

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The Housing Enabler instrument: Assessing threats to reliability and validity / Lizette Norin in The British Journal of Occupational Therapy, Vol. 82 Issue 1 (Janvier 2019)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 48-59 Titre : The Housing Enabler instrument: Assessing threats to reliability and validity Type de document : texte imprimé Auteurs : Lizette Norin ; Susanne Iwarsson ; Maria Haak ; Björn Slaug Année de publication : 2019 Article en page(s) : p. 48-59 Note générale : doi.org/10.1177/0308022618782329 Langues : Anglais (eng) Mots-clés : Reliability  validity  Housing Enabler instrument  occupational therapy Résumé : Introduction The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N = 123, injury levels C1–L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility devices were conducted. Findings Considerable threats to the reliability and content validity of the Housing Enabler were identified. The simulated analysis of construct validity showed a modest overall effect on the accessibility problem scores, although this was substantial in some individuals. Conclusion Data collection and analyses of housing accessibility with the Housing Enabler in samples characterised by high frequencies of housing adaptations and/or use of mobility devices (such as powered wheelchairs) require particular attention. Further studies are needed to propose optimisation of the instrument for use in such contexts, followed by psychometric testing to maintain reliability and validity. Permalink : ./index.php?lvl=notice_display&id=80295 [article] The Housing Enabler instrument: Assessing threats to reliability and validity [texte imprimé] / Lizette Norin ; Susanne Iwarsson ; Maria Haak ; Björn Slaug . - 2019 . - p. 48-59. doi.org/10.1177/0308022618782329 Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol. 82 Issue 1 (Janvier 2019) . - p. 48-59 Mots-clés : Reliability  validity  Housing Enabler instrument  occupational therapy Résumé : Introduction The Housing Enabler instrument, designed to measure housing accessibility, has not been used in samples with long-standing spinal cord injury. We aimed to investigate potential threats to the reliability and validity of the instrument when used among older adults with spinal cord injury. Method Cross-sectional data from the Swedish Aging with Spinal Cord Injury Study (N = 123, injury levels C1–L5) were utilised. The potential effect on the reliability and content validity of the House Enabler was qualitatively considered and reviewed in an iterative evaluation procedure. To analyse the potential effect on construct validity, simulations adjusting accessibility problem scores for housing adaptations and use of mobility devices were conducted. Findings Considerable threats to the reliability and content validity of the Housing Enabler were identified. The simulated analysis of construct validity showed a modest overall effect on the accessibility problem scores, although this was substantial in some individuals. Conclusion Data collection and analyses of housing accessibility with the Housing Enabler in samples characterised by high frequencies of housing adaptations and/or use of mobility devices (such as powered wheelchairs) require particular attention. Further studies are needed to propose optimisation of the instrument for use in such contexts, followed by psychometric testing to maintain reliability and validity. Permalink : ./index.php?lvl=notice_display&id=80295

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