Mobility in Older Adults: A Comprehensive Framework
Mobility in Older Adults: A Comprehensive Framework
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DOI：
10.1093/geront/gnq013
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发表时间：
2010-08-01
期刊：
影响因子：
5.7
通讯作者：
Menec, Verena H.
中科院分区：
文献类型：
--
作者：
Webber, Sandra C.;Porter, Michelle M.;Menec, Verena H.
活动性是积极老龄化的基础，与健康状况和生活质量密切相关。虽然人们普遍认为老年人的流动性很重要，但很少有人试图全面描绘流动性，研究在很大程度上是针对特定学科的。在这篇文章中，提出了一个新的理论框架的流动性，提高认识的复杂性因素的影响流动性和刺激新的综合和跨学科的研究思路的目标。移动性被广泛定义为移动自己的能力（例如。例如，在一个实施例中，通过步行、通过使用辅助设备或通过使用交通工具）在从一个人的家扩展到邻居和更远的区域的社区环境内。流动性的概念是通过5个基本类别的决定因素（认知，心理，身体，环境和财务），与性别，文化和传记（个人生活史）概念化的关键横切影响。每一类决定因素都包括越来越多的因素，随着流动环境远离家庭，其复杂性也越来越大。该框架说明了行动障碍如何导致限制进入不同的生活空间，并强调了影响行动的决定因素之间的关联。该模式通过连接学科和以包容性方式体现流动，表明研究需要更加跨学科，应更全面地解释目前的流动调查结果，并应制定新的更复杂的战略来解决流动问题。
Mobility is fundamental to active aging and is intimately linked to health status and quality of life. Although there is widespread acceptance regarding the importance of mobility in older adults, there have been few attempts to comprehensively portray mobility, and research has to a large extent been discipline specific. In this article, a new theoretical framework for mobility is presented with the goals of raising awareness of the complexity of factors that influence mobility and stimulating new integrative and interdisciplinary research ideas. Mobility is broadly defined as the ability to move oneself (e. g., by walking, by using assistive devices, or by using transportation) within community environments that expand from one's home, to the neighborhood, and to regions beyond. The concept of mobility is portrayed through 5 fundamental categories of determinants (cognitive, psychosocial, physical, environmental, and financial), with gender, culture, and biography (personal life history) conceptualized as critical crosscutting influences. Each category of determinants consists of an increasing number of factors, demonstrating greater complexity, as the mobility environment expands farther from the home. The framework illustrates how mobility impairments can lead to limitations in accessing different life-spaces and stresses the associations among determinants that influence mobility. By bridging disciplines and representing mobility in an inclusive manner, the model suggests that research needs to be more interdisciplinary and current mobility findings should be interpreted more comprehensively, and new more complex strategies should be developed to address mobility concerns.