Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS85
higher cognitive function (β = 0.3, p = 0.009). Lower participation
frequency was associated with being older (β = −0.2,
p = 0.002) and depressive symptoms (β = −0.2, p = 0.029).
In a model adjusted for age and gender, older adults living
in urban areas, having more advanced lower extremities
capacity, or that were employed had higher odds of fewer
participation restrictions (odds ratio [OR] = 5.5, p = 0.001;
OR = 1.09, p < 0.001; OR = 3.7, p = 0.011; respectively).
These odds decreased as depressive symptoms increased
(OR = 0.8, p = 0.011).
Conclusions: Our results highlight the commonalities and
differences in variables associated with participation frequency
and perceived participation restriction and thereby
the importance of capturing and understanding both aspects
of older persons’ participation.
Implications: The ICF may be a helpful reference to map
the underlying strengths and weaknesses for individual or
population participation and to study further potentially modifiable
influencing factors such as depressive symptoms and
advanced lower extremity capacity.
Keywords: Aging; Participation; ICF
Funding acknowledgements: This research was supported
by grants from the Icelandic Research Fund (050410031); the
University of Akureyri Research Fund; the Erik and Anne-
Marie Detlof’s Foundation; the Icelandic Physical Therapy
Association.
Ethics approval: The study was approved by The Icelandic
National Bioethics Committee (04-037-S1) and reported to
The Data Protection Authorities (S1948/2004).
Research Report Poster Display
Number: RR-PO-306-19-Thu Thursday 23 June 13:00
RAI: Exhibit Halls 2&3
SELF-RATED HEALTH: A USEFUL OUTCOME IN
GERIATRIC PHYSICAL THERAPY?
Arnadottir S. 1,2 , Gunnarsdottir E.D. 3 , Stenlund H. 4 ,
Lundin-Olsson L. 2
1University of Akureyri, School of Health Sciences, Akureyri,
Iceland, 2Umeå University, Division of Physiotherapy,
Department of Community Medicine and Rehabilitation,
Umeå, Sweden, 3University of Akureyri, School of Humanities
and Social Sciences, Akureyri, Iceland, 4Umeå University, Division of Epidemiology and Global Health,
Department of Public Health and Clinical Medicine, Umeå,
Sweden
Purpose: Our study objective was to test the hypothesis that
self-rated health (SRH) is related to a collection of standardized
scales and nonstandardized sociodemographic questions
commonly used in geriatric physical therapy practice and
research.
Relevance: A single-item standardized assessment of SRH
provides client-centered information on the complex matter
of general health through simple and inexpensive means.
Participants: Participants were randomly selected,
community-dwelling, 65–88 years old, 63% urban residents,
and 52% of the group were men.
Methods: Cross-sectional data from a population-based
study.
Analysis: Associations with SRH were analyzed with ordinal
logistic regression. Explanatory variables represented aspects
of body functions, activities, participation, environmental
factors and personal factors components of the International
Classification of Functioning, Disability and Health (ICF).
Results: SRH had a univariate association with all analyzed
ICF components through 16 out of 18 standardized scales
and nonstandardized sociodemographic questions. Five variables
categorized as ICF body functions, activities, and
personal factors were independently associated with SRH in a
multivariate analysis. These variables were depressive symptoms
(odds ratio [OR] = 0.79, 95% confidence interval [95%
CI] = 0.70–0.88, p < .001), advanced lower extremity capacity
(OR = 1.05, 95% CI = 1.02–1.07, p < .001), upper extremity
capacity (OR = 1.03, 95% CI = 1.00–1.06, p = .040),
household physical activity (OR = 1.01, 95% CI = 1.00–1.02,
p = .016), and age (OR = 1.09, 95% CI = 1.02–1.17, p = .006).
SRH had a weaker association, however, with variables categorized
as ICF participation and environmental factors.
Conclusions: The results indicate that SRH may be a useful
outcome in a geriatric physical therapy context. However,
there remains a need to replicate and extend current findings
with larger samples from other language and cultural regions
and to support the SRH potential as a reliable and valid scale
to complement the geriatric physical therapy assessment.
Implications: Translating a simple yet holistic and clientcentered
vision of health into the physical therapy practice,
may potentially be rewarding for the aging clients by reflecting
dimensions of health that may not be captured by more
detailed scales.
Keywords: Client-centered care; Aging; Measurement
Funding acknowledgements: This research was supported
by grants from the Icelandic Research Fund (050410031); the
University of Akureyri Research Fund; the Erik and Anne-
Marie Detlof’s Foundation; the Icelandic Physical Therapy
Association.
Ethics approval: The study was approved by The Icelandic
National Bioethics Committee (04-037-S1) and reported to
The Data Protection Authorities (S1948/2004).