TY - JOUR
T1 - The role of accommodations in poststroke disability management
AU - Skolarus, Lesli E.
AU - Burke, James F.
AU - Freedman, Vicki A.
N1 - Funding Information:
Funding Funding was provided by the National Institute on Aging through U01-AG032947 and P30-AG012846 and the National Institute of Neurological Disease and Stroke at the National Institute of Health through K23-NS073685 (L. E. Skolarus) and K08NS082597 (J. F. Burke) and the National Institute on Minority Health and Health Disparities (R01MD008879). The views expressed are those of the authors alone and do not represent their employers or the funding agency.
Publisher Copyright:
© The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].
PY - 2014/11/1
Y1 - 2014/11/1
N2 - OBJECTIVE: To explore use of assistive devices and personal assistance and unmet need for assistance among older stroke survivors and identify potentially modifiable factors to optimize self-care and mobility activities in this population.METHOD: Using the 2011 National Health and Aging Trends Study, we compared demographic characteristics, accommodation-enabling factors and need-related factors for self-reported stroke survivors (N = 892) and stroke-free controls (N = 6,709). For individual self-care and mobility activities, we examined type of accommodation (no devices/no help, devices/no help, devices/help, help/no devices) and unmet need by stroke status. For the sample of stroke survivors, we then estimated (a) multinomial logistic regression models predicting type of accommodation and (b) logistic regression models predicting unmet need.RESULTS: Stroke survivors used more assistive devices and received more personal assistance and had greater unmet need than stroke-free controls. In adjusted models, physical and cognitive capacity measures were most important in predicting accommodations and accommodations most important in predicting unmet need.DISCUSSION: Although accommodations are commonly used by older adult stroke survivors, unmet need is also substantial. Future research should focus on finding ways to improve poststroke functional capacity and cognitive capacity and enhance adoption of assistive devices with the aim of reducing unmet need.
AB - OBJECTIVE: To explore use of assistive devices and personal assistance and unmet need for assistance among older stroke survivors and identify potentially modifiable factors to optimize self-care and mobility activities in this population.METHOD: Using the 2011 National Health and Aging Trends Study, we compared demographic characteristics, accommodation-enabling factors and need-related factors for self-reported stroke survivors (N = 892) and stroke-free controls (N = 6,709). For individual self-care and mobility activities, we examined type of accommodation (no devices/no help, devices/no help, devices/help, help/no devices) and unmet need by stroke status. For the sample of stroke survivors, we then estimated (a) multinomial logistic regression models predicting type of accommodation and (b) logistic regression models predicting unmet need.RESULTS: Stroke survivors used more assistive devices and received more personal assistance and had greater unmet need than stroke-free controls. In adjusted models, physical and cognitive capacity measures were most important in predicting accommodations and accommodations most important in predicting unmet need.DISCUSSION: Although accommodations are commonly used by older adult stroke survivors, unmet need is also substantial. Future research should focus on finding ways to improve poststroke functional capacity and cognitive capacity and enhance adoption of assistive devices with the aim of reducing unmet need.
KW - Assistive devices
KW - Disability
KW - Personal assistance
KW - Stroke survivors.
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U2 - 10.1093/geronb/gbu117
DO - 10.1093/geronb/gbu117
M3 - Article
C2 - 25342820
AN - SCOPUS:84922334766
SN - 1079-5014
VL - 69
SP - S26-S34
JO - The journals of gerontology. Series B, Psychological sciences and social sciences
JF - The journals of gerontology. Series B, Psychological sciences and social sciences
ER -