Frailty and Life-Space Mobility: Implications for Clinical Practice and Research

被引：6

作者：

Hewston, Patricia ^{[1
,2
]}

Grenier, Amanda ^{[3
]}

Burke, Equity ^{[4
]}

Kennedy, Courtney C. ^{[1
,2
]}

Papaioannou, Alexandra ^{[1
,2
,5
]}

机构：

[1] GERAS Ctr Aging Res, Hamilton Hlth Sci, Hamilton, ON, Canada

[2] McMaster Univ, Dept Med, Hamilton, ON, Canada

[3] Univ Toronto, Fac Social Work, Toronto, ON, Canada

[4] McMaster Univ, Gilbrea Ctr Studies Aging, Hamilton, ON, Canada

[5] McMaster Univ, Dept Hlth Res & Methods, Hamilton, ON, Canada

来源：

OCCUPATIONAL THERAPY IN HEALTH CARE | 2020年 / 35卷 / 01期

关键词：

Frailty; independence; life-space mobility; participation; OLDER-ADULTS; PARTICIPATION; FALLS;

D O I：

10.1080/07380577.2020.1846235

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Frailty is an important medical syndrome that can be prevented or treated with specific interventions. However, there is limited research evidence on multifactorial perspectives of frailty management and its impact on daily function including mobility declines and changes in life-space mobility. Using the person-environment-occupation (PEO) model we aim to describe the relationship between frailty and life-space mobility in older adults. This manuscript provides a new framework for clinical practice and research implications of frailty and life-space mobility in older adults including: (1) overview of key concepts, (2) application of the PEO model to describe how frailty (personal) and life-space (environmental) can influence occupational performance, and (3) clinical practice implications to improve frailty-related immobility. This new framework provides a starting point to extend the focus of frailty beyond the individual to encompass the environmental context within which people live and move.

引用

页码：16 / 24

页数：9

共 19 条

[1]

Canadian Frailty Network, 2020, AVOID FRAILT

[2] Systematic Review of the Effect of Home Modification and Fall Prevention Programs on Falls and the Performance of Community-Dwelling Older Adults [J].

Chase, Carla A. ;

Mann, Kathryn ;

Wasek, Sarah ;

Arbesman, Marian .

AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 2012, 66 (03) :284-291

[3] Frailty in older adults: Evidence for a phenotype [J].

Fried, LP ;

Tangen, CM ;

Walston, J ;

Newman, AB ;

Hirsch, C ;

Gottdiener, J ;

Seeman, T ;

Tracy, R ;

Kop, WJ ;

Burke, G ;

McBurnie, MA .

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2001, 56 (03) :M146-M156

[4] Meanings and feelings of (Im)mobility in later life: Case study insights from a 'New Mobilities' perspective [J].

Grenier, A. ;

Griffin, M. ;

Andrews, G. ;

Wilton, R. ;

Burke, E. ;

Ojembe, B. ;

Feldman, B. ;

Papaioannou, A. .

JOURNAL OF AGING STUDIES, 2019, 51

[5] A Frailty Index predicts 10-year fracture risk in adults age 25 years and older: results from the Canadian Multicentre Osteoporosis Study (CaMos) [J].

Kennedy, C. C. ;

Ioannidis, G. ;

Rockwood, K. ;

Thabane, L. ;

Adachi, J. D. ;

Kirkland, S. ;

Pickard, L. E. ;

Papaioannou, A. .

OSTEOPOROSIS INTERNATIONAL, 2014, 25 (12) :2825-2832

[6]

Law M., 1996, CAN J OCCUP THER, V63, P9, DOI [DOI 10.1177/000841749606300103, 10.1177/000841749606300103]

[7] Measuring the Lifespace of People With Parkinson's Disease Using Smartphones: Proof of Principle [J].

Liddle, Jacki ;

Ireland, David ;

McBride, Simon J. ;

Brauer, Sandra G. ;

Hall, Leanne M. ;

Ding, Hang ;

Karunanithi, Mohan ;

Hodges, Paul W. ;

Theodoros, Deborah ;

Silburn, Peter A. ;

Chenery, Helen J. .

JMIR MHEALTH AND UHEALTH, 2014, 2 (01)

[8] Life-Space Mobility Declines Associated with Incident Falls and Fractures [J].

Lo, Alexander X. ;

Brown, Cynthia J. ;

Sawyer, Patricia ;

Kennedy, Richard E. ;

Allman, Richard M. .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2014, 62 (05) :919-923

[9]

Molnar F, 2019, CAN FAM PHYSICIAN, V65, P39

[10] Management of Frailty: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials [J].

Negm, Ahmed M. ;

Kennedy, Courtney C. ;

Thabane, Lehana ;

Veroniki, Areti-Angeliki ;

Adachi, Jonathan D. ;

Richardson, Julie ;

Cameron, Ian D. ;

Giangregorio, Aidan ;

Petropoulou, Maria ;

Alsaad, Saad M. ;

Alzahrani, Jamaan ;

Maaz, Muhammad ;

Ahmed, Muhammad M. ;

Kim, Eileen ;

Tehfe, Hadi ;

Dima, Robert ;

Sabanayagam, Kalyani ;

Hewston, Patricia ;

Abu Alrob, Hajar ;

Papaioannou, Alexandra .

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2019, 20 (10) :1190-1198

← 1 2 →