Isabelle Ottenvall Hammar1,2,3, Synneve Dahlin-Ivanoff1,3, Katarina Wilhelmson1,3,4, Kajsa Eklund1,3. 1. a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ; 2. b Department of Occupational Therapy and Physiotherapy , the Sahlgrenska University Hospital , Gothenburg , Sweden ; 3. c Centre of Aging and Health-AGECAP , University of Gothenburg , Gothenburg , Sweden ; 4. d Department of Geriatrics , the Sahlgrenska University Hospital , Gothenburg , Sweden.
Abstract
BACKGROUND: Although it is acknowledged that exercising self-determination in daily activities affects older people's health and well-being, few studies have focused on the explanatory factors for self-determination in daily life. OBJECTIVE: To investigate explanatory factors for self-determination in the context of community-dwelling older persons. METHOD: This cross-sectional study combined two sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate logistic regression was performed to analyse the association of self-determination and a set of explanatory factors. RESULTS: The final bivariate logistic regression model revealed five explanatory factors that were significantly associated with perceiving reduced self-determination: high education (OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health (OR = 6.50), and receiving help from public homecare service (OR = 2.46). CONCLUSION: Several explanatory factors related to the ageing body and environmental aspects were associated with reduced self-determination. To help older people maintain self-determination, healthcare professionals should consider using a person-centred and capability approach to care.
BACKGROUND: Although it is acknowledged that exercising self-determination in daily activities affects older people's health and well-being, few studies have focused on the explanatory factors for self-determination in daily life. OBJECTIVE: To investigate explanatory factors for self-determination in the context of community-dwelling older persons. METHOD: This cross-sectional study combined two sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate logistic regression was performed to analyse the association of self-determination and a set of explanatory factors. RESULTS: The final bivariate logistic regression model revealed five explanatory factors that were significantly associated with perceiving reduced self-determination: high education (OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health (OR = 6.50), and receiving help from public homecare service (OR = 2.46). CONCLUSION: Several explanatory factors related to the ageing body and environmental aspects were associated with reduced self-determination. To help older people maintain self-determination, healthcare professionals should consider using a person-centred and capability approach to care.
Entities:
Keywords:
Activities of daily living (ADL); aged 80 and over; capability; cross-sectional study; decision-making
Authors: Efekona Nuwere; Bethany Barone Gibbs; Pamela E Toto; Sharon E Taverno Ross Journal: Int J Environ Res Public Health Date: 2022-05-17 Impact factor: 4.614