What do older people understand by mobility-related difficulties?

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Title: What do older people understand by mobility-related difficulties?
Authors: Ramos-Pichardo, Juan Diego | Cabrero-García, Julio | González Llopis, Lorena | Cabañero-Martínez, María José | Muñoz Mendoza, Carmen Luz | Sanjuan-Quiles, Angela | Richart-Martínez, Miguel | Reig-Ferrer, Abilio
Research Group/s: Calidad de Vida, Bienestar Psicológico y Salud | Salud Pública
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería | Universidad de Alicante. Departamento de Psicología de la Salud
Keywords: Difficulty | Mobility | Functional limitation | Older people | Qualitative study
Knowledge Area: Enfermería | Personalidad, Evaluación y Tratamiento Psicológico
Issue Date: 17-Feb-2014
Publisher: Elsevier
Citation: Archives of Gerontology and Geriatrics. 2014, Accepted Manuscript, Available online 17 February 2014. doi:10.1016/j.archger.2014.02.003
Abstract: Despite the centrality of the difficulty concept in the study of disability, there has been little research on its significance from the point of view of people with functional limitations. The main objective of this study was to describe what older people understand when asked about difficulty in undertaking mobility activities. As a secondary objective, we considered whether there are any differences depending on the type of activities, according to the International Classification of Functioning (ICF) mobility domains. Methods: Seventeen community-dwelling men and women aged 70 years old or over were interviewed by means of a questionnaire containing 55 items covering the ICF mobility domains. The participants responded to the items while thinking aloud, saying what led them to give a specific answer about their level of difficulty. Inductive content analysis was conducted and categories, subthemes and themes were identified. Results: Causes of difficulty (pathologies, impairments, symptoms) and accommodations (task modifications and use of aids) were the two themes identified; and their importance (and that of the subthemes included) varied across the types of activity. All the participants said that they had no difficulty in at least one task, despite mentioning changes in the way they performed them. Conclusions: Older people's opinions were consistent with theoretical models of disability and with the standard practice of measuring functional limitations by asking about the degree of difficulty; however, the design of these measures needs to be improved in order to detect perceptions of no difficulty in the presence of task modification.
Sponsor: This research has been supported by a grant from the Spanish Ministry of Health and Social Policy (PI05/1538, Health Research Fund).
URI: http://hdl.handle.net/10045/35690
ISSN: 0167-4943 (Print) | 1872-6976 (Online)
DOI: 10.1016/j.archger.2014.02.003
Language: eng
Type: info:eu-repo/semantics/article
Peer Review: si
Publisher version: http://dx.doi.org/10.1016/j.archger.2014.02.003
Appears in Collections:INV - CV, BP Y S - Artículos de Revistas
INV - SP - Artículos de Revistas
INV - PCC-HOI - Artículos de Revistas

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