The Heterogeneity of Disability Trajectories in Later Life : Dynamics of Activities of Daily Living Performance Among Nursing Home Residents

Details

Serval ID
serval:BIB_6919F86853F9
Type
Article: article from journal or magazin.
Collection
Publications
Title
The Heterogeneity of Disability Trajectories in Later Life : Dynamics of Activities of Daily Living Performance Among Nursing Home Residents
Journal
Journal of aging and health
Author(s)
Bolano D., Berchtold A., Bürge E.
ISSN
1552-6887 (Electronic)
ISSN-L
0898-2643
Publication state
Published
Issued date
01/05/2018
Peer-reviewed
Oui
Pages
898264318776071
Language
english
Notes
Publication types: Journal Article

Abstract
This study investigated the variability in activities of daily living (ADL) trajectories among 6,155 nursing home residents using unique and rich observational data.
The impairment in ADL performance was considered as a dynamic process in a multi-state framework. Using an innovative mixture model, such states were not defined a priori but inferred from the data.
The process of change in functional health differed among residents. We identified four latent regimes: stability or slight deterioration, relevant change, variability, and recovery. Impaired body functions and poor physical performance were main risk factors associated with degradation in functional health.
The evolution of disability in later life is not completely gradual or homogeneous. Steep deterioration in functional health can be followed by periods of stability or even recovery. The current condition can be used to successfully predict the evolution of ADL allowing to set and target different care priorities and practices.
Keywords
ADL trajectories, Longitudinal analysis, Multi-state model, Nursing home resident, Variability disability trajectories
Pubmed
Create date
31/05/2018 17:00
Last modification date
20/08/2019 14:24
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