Changes in person-environmental fit and ADL dependence among older Swedish adults. A 10-year follow-up

Werngren-Elgström, Monica, Carlsson, Gunilla and Iwarsson, Susanne (2008) Changes in person-environmental fit and ADL dependence among older Swedish adults. A 10-year follow-up. Aging Clinical and Experimental Research, 20 5: 469-478. doi:10.1007/BF03325154


Author Werngren-Elgström, Monica
Carlsson, Gunilla
Iwarsson, Susanne
Title Changes in person-environmental fit and ADL dependence among older Swedish adults. A 10-year follow-up
Journal name Aging Clinical and Experimental Research   Check publisher's open access policy
ISSN 1720-8319
Publication date 2008-10
Sub-type Article (original research)
DOI 10.1007/BF03325154
Open Access Status
Volume 20
Issue 5
Start page 469
End page 478
Total pages 10
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Formatted abstract
Background and aims: In order to investigate the relation between personal functional capacity and the physical housing environment during the aging process, the aim of this study was to give a long-term description of person-environmental fit (P-E fit) problems in terms of housing accessibility and ADL dependence among older adults, and to study their relationships at three points in time.

Methods: A 10-year longitudinal design was used: baseline (1994), follow-up 1 (2000) and follow-up 2 (2004). Using the Swedish national population register, a baseline sample of persons aged 75–84 years was identified. Of the 133 participants at baseline, the 31 participants still available at follow-up 2 were included in this study. Data on housing accessibility, functional limitations and dependence in ADL were collected by means of interviews and observations at home visits.

Results: P-E fit problems increased significantly between baseline and follow-up 1 and between follow-ups 1 and 2. No significant changes in overall ADL dependence were recorded. The total number of functional limitations, dependence on walking aids and P-E fit were significantly correlated to ADL dependence, at both follow-up 1 and follow-up 2, but not at baseline.

Conclusions: Results confirm that functional decline is a major driver toward increased ADL dependence during the aging process, whereas environmental barriers per se are not related to such disability. Instead, P-E fit is significantly related to ADL dependence, and the relationship grows stronger with advancing age.
Keyword Environmental barriers
Functional limitations
Housing Enabler
Longitudinal study
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Tue, 08 Jul 2014, 10:33:01 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work