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Compensatory Strategies: Prevalence of Use and Relationship to Physical Function and Well-Being
Journal article   Open access   Peer reviewed

Compensatory Strategies: Prevalence of Use and Relationship to Physical Function and Well-Being

Laura N Gitlin, Laraine Winter and Ian H Stanley
Journal of applied gerontology, v 36(6), pp 647-666
Jun 2017
PMID: 25873452
url
https://europepmc.org/articles/pmc5215056View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Activities of Daily Living Adaptation, Physiological Adaptation, Psychological Aged Aged, 80 and over Depression - epidemiology Disability Evaluation Disabled Persons - rehabilitation Female Frail Elderly - psychology Humans Male Physical Fitness Physical Therapy Modalities Self-Help Devices Social Support Treatment Outcome
We examine prevalence of four compensatory strategies (assistive devices, receiving help, changing frequency, or method of performance) and their immediate and long-term relationship to well-being. A total of 319 older adults (>70 years) with functional difficulties at home provided baseline data; 285 (89%) provided 12-month data. For 17 everyday activities, the most frequently used strategy was changing method of performance ( M = 10.27 activities), followed by changing frequency ( M = 6.17), assistive devices ( M = 5.38), and receiving help ( M = 3.37; p = .001). Using each strategy type was associated with functional difficulties at baseline ( ps < .0001), whereas each strategy type except changing method predicted functional decline 12 months later ( ps < .0001). Changing frequency of performing activities was associated with depressed mood ( p < .0001) and poor mastery ( p < .0001) at both baseline and 12 months ( ps < .02). Findings suggest that strategy type may be differentially associated with functional decline and well-being although reciprocal causality and the role of other factors in these outcomes cannot be determined from this study.

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11 citations in Scopus

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This publication has contributed to the advancement of the following goals:

#2 Zero Hunger
#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Gerontology
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