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Physical, cognitive and psychosocial variables from the Disablement Process Model predict patterns of independence and the transition into disability for the oldest-old
Author(s)Elizabeth Braungart Fauth, Steven H Zarit, Bo Malmberg
Journal titleThe Gerontologist, vol 47, no 5, October 2007
Pagespp 613-624
Sourcehttp://www.geron.org
KeywordsOctogenarians ; Mobility ; Self care capacity ; Physical disabilities ; Independence ; Longitudinal surveys ; Sweden.
AnnotationThe Disablement Process Model was used predict whether 146 Swedish people aged 86+ maintained their disability or disability-free status over 2- and 4-year follow-ups, or whether there was a transition into a state of disability during this time. The sample was grouped by ability in activities of daily living (ADLs) as being functional survivors (non-disabled over time), increasingly disabled (initially non-disabled but later disabled), chronically disabled (disabled at all waves), or deceased. Variables from baseline were used to predict group membership into these four longitudinal outcome groups. Results indicate that demographic factors, physical impairments, physical and cognitive limitations, and psychosocial variables at baseline predicted membership into the functional survivor group after 2 years, and most continued to distinguish between functional survivors and other groups after 4 years. These findings indicate key variables that may be useful in predicting shorter term longitudinal changes in disability. By understanding the physical, cognitive and psychosocial variables that predict whether a person develops a disability within the next 2 or 4 years, we may be better able to plan for care or implement appropriate interventions. (RH).
Accession NumberCPA-080407204 A
ClassmarkBBM: C4: CA: BN: C3: 3J: 76P

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