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Centre for Policy on Ageing | |
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People dependent of support in daily activities perceives reduced self-determination
— a cross-sectional study with community-dwelling older people | | Author(s) | Isabelle Ottenvall Hammar, Synneve Dahlin Ivanoff, Katarina Wilhelmson, Kajsa Eklund |
| Journal title | Quality in Ageing and Older Adults, vol 16, no 4, 2015 |
| Publisher | Emerald, 2015 |
| Pages | pp 208-221 |
| Source | www.emeraldgrouppublishing.com/qaoa.htm |
| Keywords | Octogenarians ; Nonagenarians ; Self care capacity ; Independence ; Living in the community ; Attitude ; Cross sectional surveys. |
| Annotation | The authors used a cross-sectional study to explore the relationship of self-determination with degree of dependence in daily activities among community-dwelling people aged 80+ with a varied degree of dependence in daily activities. Self-determination in daily life was assessed with the statements from the Impact on Participation and Autonomy - Older persons (IPA-O); the degree of dependence in daily activities was assessed with the activities of daily living (ADL) staircase. Data were analysed using Fisher's exact test, and the relative risk with a 95 per cent confidence interval was used to explore the risk of perceiving reduced self-determination in daily life. Compared to the independent people, the perceived self-determination was significantly lower among theose dependent in instrumental activities of daily living (IADLs), and those dependent in personal activities of daily living (P-ADL). Reduced self-determination was most pronounced in people requiring help with P-ADL. The following key features could be applied to strengthen the community-dwelling older people's self-determination: incorporating a dialogue where self-determined questions are raised; adopting a person-centred approach between the people involved; and acknowledging older people's capabilities - what they are able to do and to be, and what they value. This study highlights the need to integrate a self-determined dialogue into healthcare, where the older person and the professional focus on self-determined questions. (RH). |
| Accession Number | CPA-170512221 A |
| Classmark | BBM: BBR: CA: C3: K4: DP: 3KB |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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