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Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults


Citation

Loke, Seng Cheong and Lim, Wee Shiong and Someya, Yoshiko and Tengku Abd Hamid, Tengku Aizan and Hassan Nudin, Siti Sa'adiah (2016) Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults. Journal of Aging and Health, 28 (4). pp. 704-725. ISSN 0898-2643; ESSN: 1552-6887

Abstract / Synopsis

Objective: This study examines the International Classification of Functioning, Disability, and Health model (ICF) using a data set of 2,563 community-dwelling elderly with disease-independent measures of mobility, physical activity, and social networking, to represent ICF constructs. Method: The relationship between chronic disease and disability (independent and dependent variables) was examined using logistic regression. To demonstrate variability in activity performance with functional impairment, graphing was used. The relationship between functional impairment, activity performance, and social participation was examined graphically and using ANOVA. The impact of cognitive deficits was quantified through stratifying by dementia. Results: Disability is strongly related to chronic disease (Wald 25.5, p < .001), functional impairment with activity performance (F = 34.2, p < .001), and social participation (F= 43.6, p < .001). With good function, there is considerable variability in activity performance (inter-quartile range [IQR] = 2.00), but diminishes with high impairment (IQR = 0.00) especially with cognitive deficits. Discussion: Environment modification benefits those with moderate functional impairment, but not with higher grades of functional loss.


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Additional Metadata

Item Type: Article
Subject: Chronic disease; Disability evaluation; Rehabilitation; Malaysia; Social participation
Divisions: Institute of Gerontology
DOI Number: https://doi.org/10.1177/0898264315609907
Publisher: Sage Publications
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 08 Mar 2018 09:13
Last Modified: 08 Mar 2018 09:13
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1177/0898264315609907
URI: http://psasir.upm.edu.my/id/eprint/54223
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