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People dependent of support in daily activities perceives reduced self-determination – a cross-sectional study with community-dwelling older people

Artikel i vetenskaplig tidskrift
Författare Isabelle Ottenvall Hammar
Synneve Dahlin-Ivanoff
Katarina Wilhelmson
Kajsa Eklund
Publicerad i Quality in Ageing and Older Adults
Volym 16
Nummer/häfte 4
Sidor 208-221
ISSN 1471-7794
Publiceringsår 2015
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering
Centrum för åldrande och hälsa (AgeCap)
Sidor 208-221
Språk en
Länkar www.emeraldinsight.com/doi/abs/10.1...
Ämnesord Decision making, Respect, Activities of daily living, Aged 80 and over, Capability, Cross-sectional study
Ämneskategorier Annan medicin och hälsovetenskap

Sammanfattning

Purpose – The purpose of this paper is to explore the relationship of self-determination with degree of dependence in daily activities among community-dwelling persons aged 80 years and older. Design/methodology/approach – This cross-sectional study focused on community-dwelling people 80 years or older with varied degree of dependence in daily activities. Self-determination in daily life was assessed with the statements from the Impact on Participation and Autonomy-Older persons (IPA-O), and degree of dependence in daily activities was assessed with the activities of daily living (ADL) staircase. Data were analysed using Fisher’s exact test, and the relative risk with a 95 per cent confidence interval was used to explore the risk of perceiving reduced self-determination in daily life. Findings – Compared to the independent persons, the perceived self-determination was significantly lower among persons dependent in instrumental activities of daily living (I-ADL), and persons dependent in personal activities of daily living (P-ADL). Reduced self-determination was most pronounced in persons requiring help with P-ADL. Practical implications – Following key features could be applied to strengthen the community-dwelling older people’s self-determination; incorporating a dialogue where self-determined questions are raised; adopting a person-centred approach between the persons involved; acknowledging older people’s capabilities – what they are able to do and to be, and what they value. Originality/value – This study highlights the need of integrating a self-determined dialogue into healthcare where the older person and the professional focus on self-determined questions.

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