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  • Benzinger, P., et al. (författare)
  • The association between the home environment and physical activity in community-dwelling older adults
  • 2014
  • Ingår i: Aging clinical and experimental research. - Kurtis. - 1720-8319. ; 26:4, s. 377-385
  • Tidskriftsartikel (refereegranskat)abstract
    • Physical activity (PA) decreases with increasing age despite the fact that PA exerts beneficial effects on many age-related diseases and conditions. Consequently, there is an interest in modifiable factors that may influence PA among older persons. The purpose of this study was to examine the association between PA and the home environment in wellfunctioning older community-dwelling persons. Method This study used a person-environment (P-E) fit perspective to the home environment, operationalized by means of assessment of functional limitations in 81 community- dwelling persons (median age 79 years) as well as environmental barriers in their home environments and the nearby exterior surroundings. The interaction between functional limitations and environmental barriers generated a score expressing the magnitude of P-E fit problems in their home environment. PA was rated with a questionnaire covering household-related and recreational activities. Results We found a significant association between PA and the magnitude of P-E fit problems that explained 3.9 % of the variance of PA. The number of environmental barriers per se was not significantly associated with PA, while functional limitations explained 6.8 % of the variance of PA. Conclusion In well-functioning older persons living in the community environmental aspects of housing demonstrated a weak association with PA.
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  • Brandt, Ase, et al. (författare)
  • Towards an instrument targeting mobility-related participation: Nordic cross-national reliability
  • 2008
  • Ingår i: Journal of Rehabilitation Medicine. - Taylor & Francis. - 1651-2081. ; 40:9, s. 766-772
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To investigate test-retest reliability and internal consistency of a new instrument for evaluation of mobility device interventions. Material and methods: The instrument comprised 4 scales and one summed index. Two test-retest interviews involved 147 mobility device users (mean age 60 years) with a broad range of functional limitations, living at home. Results: For 2 scales and the summed index the reliability was substantial or almost perfect (K 0.71/ K-W 0.76/intraclass correlation coefficient = 0.93; confidence interval = 0.90-0.95). The reliability of one scale was moderate (K-w 0.4 1), but after reduction of grades and combination with another scale, it was substantial (K-w 0.66). The reliability of the fourth scale was moderate (K-w 0.55). The internal consistency of 3 scales varied from a 0.63 to 0.76. Conclusion: Even thou,,h the test-retest reliability of all but one of the scales of the new instrument was substantial to almost perfect, this study demonstrated that revision is required. The challenges identified were probably due to the highly complex relationship between outdoor participation while using mobility devices and accessibility to the outdoor physical environment. Thus. based on the results of this study the instrument will be revised and subsequently launched as the "Nordic mobility-related participation outcome evaluation of assistive device intervention" (NOMO instrument). More research on the concept of mobility-related participation and the psychometric qualities of the instrument is required.
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