Social Citizenship Through Out-of-Home Participation Among Older Adults With and Without Dementia

Author:

Gaber Sophie N.12ORCID,Thalén Liv1ORCID,Malinowsky Camilla W.1ORCID,Margot-Cattin Isabel13ORCID,Seetharaman Kishore4ORCID,Chaudhury Habib4ORCID,Cutchin Malcolm5ORCID,Wallcook Sarah1ORCID,Kottorp Anders16ORCID,Brorsson Anna1ORCID,Biglieri Samantha7ORCID,Nygård Louise1ORCID

Affiliation:

1. Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden

2. Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden

3. Department of Occupational Therapy, School of Social Work and Health, Lausanne (HETSL), University of Applied Sciences and Arts of Western Switzerland (HES-SO) Delémont, Switzerland

4. Department of Gerontology, Simon Fraser University, Burnaby, BC, Canada

5. Pacific Northwest University of Health Sciences, Yakima, WA, USA

6. Faculty of Health and Society, Malmö University, Malmö, Sweden

7. School of Urban and Regional Planning, Ryerson University, Toronto, ON, Canada

Abstract

There is limited empirical knowledge about how older adults living with dementia enact their social citizenship through out-of-home participation. This study aimed: (a) to investigate out-of-home participation among older adults with and without dementia in four countries and (b) to compare aspects of stability or change in out-of-home participation. Using a cross-sectional design, older adults with mild-to-moderate dementia and without dementia, aged 55 years and over, were interviewed using the Participation in ACTivities and Places OUTside the Home questionnaire in Canada ( n = 58), Sweden ( n = 69), Switzerland ( n = 70), and the United Kingdom ( n = 128). Data were analyzed using descriptive statistics and a two-way analysis of variance. After adjustment for age, diagnosis of dementia and country of residence had significant effects on total out-of-home participation ( p < .01). The results contribute to policies and development of programs to facilitate social citizenship by targeting specific activities and places.

Funder

H2020 Marie Skłodowska-Curie Actions

Familjen Kamprads Stiftelse

Forskningsrådet om Hälsa, Arbetsliv och Välfärd

Vetenskapsrådet

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

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