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

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 re...

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Main Authors: Loke, Seng Cheong, Lim, Wee Shiong, Someya, Yoshiko, Tengku Abdul Hamid, Tengku Aizan, Hassan Nudin, Siti Sa'adiah
Format: Article
Language:English
Published: Sage Publications 2016
Online Access:http://psasir.upm.edu.my/id/eprint/54223/
http://psasir.upm.edu.my/id/eprint/54223/1/Examining%20the%20disability%20model%20from%20the%20International%20Classification%20of%20Functioning.pdf
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author Loke, Seng Cheong
Lim, Wee Shiong
Someya, Yoshiko
Tengku Abdul Hamid, Tengku Aizan
Hassan Nudin, Siti Sa'adiah
author_facet Loke, Seng Cheong
Lim, Wee Shiong
Someya, Yoshiko
Tengku Abdul Hamid, Tengku Aizan
Hassan Nudin, Siti Sa'adiah
author_sort Loke, Seng Cheong
building UPM Institutional Repository
collection Online Access
description 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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language English
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spelling upm-542232019-11-22T01:57:14Z http://psasir.upm.edu.my/id/eprint/54223/ Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults Loke, Seng Cheong Lim, Wee Shiong Someya, Yoshiko Tengku Abdul Hamid, Tengku Aizan Hassan Nudin, Siti Sa'adiah 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. Sage Publications 2016 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/54223/1/Examining%20the%20disability%20model%20from%20the%20International%20Classification%20of%20Functioning.pdf Loke, Seng Cheong and Lim, Wee Shiong and Someya, Yoshiko and Tengku Abdul 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 http://journals.sagepub.com/doi/abs/10.1177/0898264315609907 10.1177/0898264315609907
spellingShingle Loke, Seng Cheong
Lim, Wee Shiong
Someya, Yoshiko
Tengku Abdul Hamid, Tengku Aizan
Hassan Nudin, Siti Sa'adiah
Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title_full Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title_fullStr Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title_full_unstemmed Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title_short Examining the disability model from the International Classification of Functioning, Disability, and Health using a large data set of community-dwelling Malaysian older adults
title_sort examining the disability model from the international classification of functioning, disability, and health using a large data set of community-dwelling malaysian older adults
url http://psasir.upm.edu.my/id/eprint/54223/
http://psasir.upm.edu.my/id/eprint/54223/
http://psasir.upm.edu.my/id/eprint/54223/
http://psasir.upm.edu.my/id/eprint/54223/1/Examining%20the%20disability%20model%20from%20the%20International%20Classification%20of%20Functioning.pdf