The heterogeneity of disability trajectories in later life: Dynamics of activities of daily living performance among nursing home residents

TitreThe heterogeneity of disability trajectories in later life: Dynamics of activities of daily living performance among nursing home residents
Type de publicationJournal Article
Year of Publication2018
AuteursBolano, D, Berchtold, A, Burge, E
JournalJournal of Aging & Health
Mots-clésADL trajectories, longitudinal analysis, multi-state model, nursing home resident, variability disability trajectories
Résumé

Objective: This study investigated the variability in activities of daily living (ADL) trajectories among 6,155 nursing home residents using unique and rich observational data. Method: The impairment in ADL performance was considered as a dynamic process in a multi-state framework. Using an innovative mixture model, such states were not defined a priori but inferred from the data. Results: The process of change in functional health differed among residents. We identified four latent regimes: stability or slight deterioration, relevant change, variability, and recovery. Impaired body functions and poor physical performance were main risk factors associated with degradation in functional health. Discussion: The evolution of disability in later life is not completely gradual or homogeneous. Steep deterioration in functional health can be followed by periods of stability or even recovery. The current condition can be used to successfully predict the evolution of ADL allowing to set and target different care priorities and practices.

URLhttp://journals.sagepub.com/doi/abs/10.1177/0898264318776071
DOI10.1177/0898264318776071
Short TitleThe heterogeneity of disability trajectories in later life