Cognitive, Visual, Auditory, and Emotional Factors That Affect Participation in Older Adults

Author:

Perlmutter Monica S.1,Bhorade Anjali2,Gordon Mae3,Hollingsworth Holly H.4,Baum M. Carolyn5

Affiliation:

1. Monica S. Perlmutter, MA, OTR/L, is Instructor of Occupational Therapy and Ophthalmology, Program in Occupational Therapy, Washington University School of Medicine, 660 South Euclid, Box 8505, St. Louis, MO 63110; perlmutterm@wusm.wustl.edu

2. Anjali Bhorade, MD, is Assistant Professor of Ophthalmology, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO

3. Mae Gordon, PhD, is Professor of Ophthalmology and Biostatistics, Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO

4. Holly H. Hollingsworth, PhD, is Research Associate Professor of Occupational Therapy, Washington University School of Medicine, Program in Occupational Therapy, St. Louis, MO

5. M. Carolyn Baum, PhD, OTR/L, is Professor of Occupational Therapy, Program in Occupational Therapy, and Professor of Neurology, Department of Neurology, Washington University School of Medicine, St. Louis, MO

Abstract

Abstract OBJECTIVE. To determine whether changes in hearing, cognition, depression, and vision affect daily life participation and whether screening tests that identify problems could be used in the home. METHOD. Interviewers assessed presence of medical conditions, social class, distance acuity, cognition, hearing, depression, and participation using valid screening tools. Participation scores were subgrouped according to negative or positive results. Multiple regression analysis determined association of screening tests with participation. RESULTS. Eighty-eight older adults, ages 62–90, participated. Positive screening tests were found in 43% of participants for distance acuity, 9% for cognitive problems, 8% for depression, and 15% for hearing loss. Relationships were found among age, cognition, depression, and vision and participation. CONCLUSION. Mild levels of decreased vision, depression, and decreased cognition are associated with lower participation. These conditions can be screened by occupational therapists and managed to help older adults remain active and maintain their health.

Publisher

AOTA Press

Subject

Occupational Therapy

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