Prevalence and Related Factors in Homebound and Semi-homebound Older adults in Rural Japan
Prevalence and Related Factors in Homebound and Semi-homebound Older adults in Rural Japan
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日本农村居家和半居家老年人的患病率及相关因素
DOI：
10.1111/ggi.14111
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Hiromi Imuta
中科院分区：
文献类型：
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作者：
Sachiko Yamazaki;Koji Fujita;Hiromi Imuta
目的为了保持老年人外出的频率，改善老年人的居家状况，需要确定具体的障碍。因此，本研究开发了一个测量外出障碍的量表。方法对该量表的条目进行初步研究。我们对5名在家的老年人进行了半结构式访谈，并编制了14个项目作为障碍量表的草稿。主要研究对象包括2273名日本农村老年人及其同居家庭成员。对于老年人，问题包括人口统计特征，对该量表草案的反应，以及检查其有效性的变量。对于家庭成员，问题包括人口统计特征，他们与老年人的关系，以及他们对年长亲戚外出意愿的评估。结果通过标准分组策略筛选出9个条目，通过因子分析确定了量表的一维结构。结果表明，该量表与老年人的外出自我效能感、健康控制源、外出频率、家庭成员不愿外出之间存在显著的相关关系。我们进行了接收器工作特性分析，以确定刻度的截止点。我们的多变量分析表明，该量表与居家状况的相关性显著强于其他变量。结论我们开发了一个关于社区老年人外出障碍的高度可信和有效的量表，并证实了其可用性。Geriatr Gerontol Int 2021；21：238-244。
AimTo maintain the frequency of going out and to improve homebound status among older adults, specific barriers need to be identified. Hence, this study developed a scale to measure barriers to going out.MethodsA preliminary study was carried out to collect items for the scale. We conducted semi‐structured interviews with five homebound older adults, and created 14 items as a draft barrier scale. The main study included 2273 older adults and their cohabitating family members in rural Japan. For older adults, the questions included demographic characteristics, responses to the draft scale and variables to examine its validity. For family members, the questions included demographic characteristics, their relationship with the older adult and their assessment of their older relative's willingness to go out. We used data from 892 pairs for our analysis.ResultsWe selected nine items through the criterion group strategy, and confirmed the unidimensional structure of the scale through factor analysis. The results showed significant relationships between the scale and older adults’ self‐efficacy about going out, their health locus of control, the frequency of going out and their reluctance to go out as assessed by family members. We carried out a receiver operating characteristic analysis to determine the scale's cut‐off point. Our multivariate analysis showed that the scale had a significantly stronger association with homebound status than with other variables.ConclusionWe developed a highly reliable and valid scale on barriers to going out among community‐dwelling older adults and confirmed its usability.Geriatr Gerontol Int 2021; 21: 238–244.