Predictors of instrumental activities of daily living in community-dwelling older adults
Autor: | Graham J. McDougall, David K. Johnson, Joan M. McDowd, Vincent S. Staggs, Areum Han |
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Rok vydání: | 2019 |
Předmět: |
Gerontology
Male Activities of daily living Physical fitness Psychiatric Nursing Neuropsychological Tests 03 medical and health sciences Grip strength Executive Function 0302 clinical medicine Activities of Daily Living Humans Aged 030504 nursing Hand Strength business.industry Working memory Cognitive flexibility Cognition Executive functions Mental health 030227 psychiatry Physical Fitness Female Independent Living Pshychiatric Mental Health 0305 other medical science business Psychology human activities |
Zdroj: | Archives of psychiatric nursing. 33(5) |
ISSN: | 1532-8228 |
Popis: | Psychiatric mental health clinicians often rely on proxy and self-report evaluations to determine the cognitive function of older adults however, performance measures have greater accuracy and predictive ability for everyday function. This study tested physical and cognitive predictors of functional abilities in fifty-one community residing older adults. We administered a computerized battery of executive function tasks, a performance-based measure of instrumental activities of daily living (IADL), and three physical function measures (grip strength, 30-second Chair Stand Test, and 8-foot Up and Go). Regression models assessed the associations of three components of executive function (updating, shifting, and inhibition) with IADLs and physical functions. Updating was a significant predictor of the Medications and Financial DAFS scores and of grip strength. Shifting also predicted grip strength. In conclusion, different executive functions predict different domains of IADL functioning. Working memory was a robust predictor of IADL functioning in older adults, especially medication management skills. |
Databáze: | OpenAIRE |
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