Article

PURPOSE: To identify variables from different components of International
Classification of Functioning, Disability and Health (ICF) associated with older
people's participation frequency and perceived participation restrictions.
METHOD: Participants (N = 186) were community-living, 65-88 years old and 52%
men. The dependent variables, participation frequency (linear regression) and
perceived participation restrictions (logistic regression), were measured using
The Late-Life Function and Disability Instrument. Independent variables were
selected from various ICF components. RESULTS: Higher participation frequency was
associated with living in urban rather than rural community (beta = 2.8, p <
0.001), physically active lifestyle (beta = 4.6, p < 0.001) and higher cognitive
function (beta = 0.3, p = 0.009). Lower participation frequency was associated
with being older (beta = -0.2, p = 0.002) and depressive symptoms (beta = -0.2, p
= 0.029). Older adults living in urban areas, having more advanced lower
extremities capacity, or that were employed had higher odds of less perceived
participation restrictions (adjusted odds ratio [OR] = 5.5, p = 0.001; OR = 1.09,
p < 0.001; OR = 3.7, p = 0.011; respectively). In contrast, the odds of less
perceived participation restriction decreased as depressive symptoms increased
(OR = 0.8, p = 0.011). CONCLUSIONS: Our results highlight the importance of
capturing and understanding both frequency and restriction aspects of older
persons' participation. ICF may be a helpful reference to map factors associated
with participation and to study further potentially modifiable influencing
factors such as depressive symptoms and advanced lower extremity capacity.

Langue : ANGLAIS