Frailty is an important medical syndrome that can be prevented or treated with specific interventions. However, there is limited research evidence on multifactorial perspectives of frailty management and its impact on daily function including mobility declines and changes in life-space mobility. Using the person-environment-occupation (PEO) model we aim to describe the relationship between frailty and life-space mobility in older adults. This manuscript provides a new framework for clinical practice and research implications of frailty and life-space mobility in older adults including: (1) overview of key concepts, (2) application of the PEO model to describe how frailty (personal) and life-space (environmental) can influence occupational performance, and (3) clinical practice implications to improve frailty-related immobility. This new framework provides a starting point to extend the focus of frailty beyond the individual to encompass the environmental context within which people live and move.
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http://dx.doi.org/10.1080/07380577.2020.1846235 | DOI Listing |
J Am Geriatr Soc
December 2024
NIA-Layton Aging & Alzheimer's Disease Research Center, Oregon Health & Science University, Portland, Oregon, USA.
Background: Life-space mobility can be a behavioral indicator of loneliness. This study examined the association between life-space mobility measured with motion sensors and weekly vs. annually reported loneliness.
View Article and Find Full Text PDFJ Am Med Dir Assoc
December 2024
Department of Preventive Gerontology, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Disabil Rehabil
December 2024
Rehabilitation Research Group, Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, Brussels, Belgium.
Purpose: As the global population aged 60+ grows, ensuring mobility and independence for older adults is a critical public health goal. This paper examines barriers to life-space mobility in older adults and explores wearable lower limb exoskeletons (LLEs) and green exercise as innovative solutions.
Methods: Literature search and interdisciplinary expert input were utilized.
J Am Geriatr Soc
December 2024
Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Background: Decisions about driving cessation can be stressful for older adults. We tested effects of a driving decision aid (DDA) on psychosocial outcomes among older drivers during two-year follow-up.
Methods: Multisite randomized controlled trial of licensed drivers ages ≥70 with at least one diagnosis associated with increased likelihood of driving cessation, without significant cognitive impairment.
BMC Public Health
November 2024
Folkhälsan Research Center, Topeliuksenkatu 20, Helsinki, 00250, Finland.
Background: Outdoor mobility supports functioning and active life in old age. There is scarce knowledge about the outdoor mobility of senior housing residents, and it remains unclear whether outdoor mobility is dependent on one's home location.
Aims: We investigated outdoor mobility among senior housing residents and community-dwelling older adults in different population-density areas.
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