ADL dependence in the elderly population living in the community: the influence of functional limitations and physical environmental demand

Susanne Iwarsson, Åke Isacsson, Jan Lanke

Research output: Contribution to journalArticlepeer-review

46 Citations (Scopus)

Abstract

Empirical research elucidating the relationships between aspects of functional competence and environmental factors is lacking. This study aimed to analyse how functional limitations in the individual and housing accessibility problems influence ADL dependence in the elderly population, and to test Lawton's docility hypothesis. Data were collected from 133 Swedish subjects aged 75–84, who were living in the community. The main finding was that dependence in ADL correlated highly significantly with housing accessibility problems. The results also revealed significantly more ADL disability in the group of respondents in whom the heaviest environmental demands were identified, supporting the docility hypothesis. Although the study had limitations because the data required the use of non-parametric statistics, so restricting possible interpretations of the effects of geriatric comorbidity, the results indicated that interventions such as housing adaptations ought to be most effective with frail individuals. To promote independence in the general population, society has to work towards more accessible housing. More research is needed considering more environmental dimensions and elderly people's subjective apprehension of their housing environment.
Original languageEnglish
Pages (from-to)173-193
JournalOccupational Therapy International
Volume5
Issue number3
DOIs
Publication statusPublished - 1998

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000), Department of Statistics (012014000)

Subject classification (UKÄ)

  • Occupational Therapy

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