Successful Aging Through Successful Accommodation With Assistive Devices
Successful Aging Through Successful Accommodation With Assistive Devices
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DOI：
10.1093/geronb/gbw102
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发表时间：
2017-03-01
影响因子：
6.2
通讯作者：
Spillman, Brenda C.
中科院分区：
文献类型：
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作者：
Freedman, Vicki A.;Kasper, Judith D.;Spillman, Brenda C.
目的：为了提供一个配置文件的老年人成功地适应能力下降，通过使用辅助devices.Method：使用国家健康和老龄化趋势研究，我们提供了国家的普遍估计，事件，并持续成功的住宿的流动性和自我护理活动的限制。对于事件和持续住宿组，我们描述了他们的主观幸福感和参与限制，健康和功能，人口和社会经济特征，以及辅助设备和环境特征的获取。我们估计回归模型预测事件和持续成功的住宿和福祉和参与的限制事件和持久的群体（与那些谁是完全能够）的程度。结果：近四分之一的老年人已经到位的住宿，让他们进行日常活动，没有援助或困难。在调整后的模型中，对于80-89岁的人，那些有更多孩子的人，以及那些生活在已经安装了环境功能的家中的人来说，事件和持续成功的住宿更常见;这些群体的幸福水平相似，参与限制仅略低于那些完全有能力的人。重点促进那些经历能力下降的人的成功适应可能是促进晚年参与和福祉的有效手段。
Objectives: To provide a profile of older adults who successfully accommodate declines in capacity by using assistive devices.Method: Using the National Health and Aging Trends Study, we provide national estimates of prevalent, incident, and persistent successful accommodation of mobility and self-care activity limitations. For incident and persistent accommodation groups, we describe their subjective wellbeing and participation restrictions, health and functioning, demographic and socioeconomic characteristics, and acquisition of assistive devices and environmental features. We estimate regression models predicting incident and persistent successful accommodation and the extent of wellbeing and participation restrictions for incident and persistent groups (vs. those who are fully able).Results: Nearly one-quarter of older adults have put in place accommodations that allow them to carry out daily activities with no assistance or difficulty. In adjusted models, incident and persistent successful accommodation is more common for those ages 80-89, those with more children, and those living in homes with environmental features already installed; wellbeing levels for these groups are similar and participation restrictions only slightly below those who are fully able.Discussion: A focus on facilitating successful accommodation among those who experience declines in capacity may be an effective means of promoting participation and wellbeing in later life.