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Relationship between self-report and performance measures of function: a systematic review
- Authors:
- COMAN Liliana, RICHARDSON Julie
- Journal article citation:
- Canadian Journal on Aging, 25(3), 2006, pp.253-270.
- Publisher:
- Canadian Association on Gerontology
- Place of publication:
- Kanata
To facilitate planning for disability in old age, appropriate assessment tools of functional ability are required. A systematic review of the literature found 18 studies which compare self-report and performance-based measures in community dwelling older people. While the studies showed a wide range of correlation coefficient values, there was a moderate to large correlation in studies where both tools measured the same functional tasks and limitations, indicating that they are reflecting the same assessment of function. Further research is needed to determine the variables which affect the different tools.
Facilitators and barriers to autonomy: a systematic literature review for older adults with physical impairments, living in residential care facilities
- Authors:
- van LOON Jolande, et al
- Journal article citation:
- Ageing and Society, early cite 30 October 2019,
- Publisher:
- Cambridge University Press
Autonomy is important in every stage of life. However, little is known about how autonomy is enhanced for older adults living in residential care facilities (RCFs). This leads to the research question: which facilitators and barriers to autonomy of older adults with physical impairments due to ageing and chronic health conditions living in RCFs are known? The results will be organised according to the framework of person-centred practice, because this is related to autonomy enhancement. To answer the research question, a systematic literature search and review was performed in the electronic databases CINAHL, PsycINFO, PubMed, Social Services Abstracts and Sociological Abstracts. Inclusion and exclusion criteria were derived from the research question. Selected articles were analysed and assessed on quality using the Mixed Methods Appraisal Tool. Facilitators and barriers for autonomy were found and arranged in four themes: characteristics of residents, prerequisites of professional care-givers, care processes between resident and care-giver, and environment of care. The established facilitators and barriers are relational and dynamic. For a better understanding of the facilitators and barriers to autonomy for older adults with physical impairments living in RCFs, a description is based on the 35 included articles. Autonomy is a capacity to influence the environment and make decisions irrespective of having executional autonomy, to live the kind of life someone desires to live in the face of diminishing social, physical and/or cognitive resources and dependency, and it develops in relationships. The results provide an actual overview and lead to a better understanding of barriers and facilitators for the autonomy of older adults with physical impairments in RCFs. For both residents and care-givers, results offer possibilities to sustain and reinforce autonomy. Scientifically, the study creates new knowledge on factors that influence autonomy, which can be used to enhance autonomy. (Edited publisher abstract)