Self-rated health : a valid outcome in geriatric physical therapy?

摘要: Background: The main objective of this study was to investigate older people’s physical activity, their participation in various life situations, and perceptions own health. This included an exploration potential influences urban versus rural residency on these outcomes, evaluation the measurement properties a balance confidence scale, examination proposed usefulness International Classification Functioning, Disability Health (ICF) as conceptual framework facilitate analysis understanding selected outcomes.Methods: design cross-sectional, population-based, with random selection from national register one two municipalities Northern Iceland. There were 186 participants, all community-dwelling, aged 65 88 years (mean = 73.8), 48% group women. rate 79%. Data collected 2004, face-to-face interviews through standardized assessments. outcomes total activity; leisure-time, household, work-related frequency perceived restrictions; self-rated Other assessments represented aspects ICF body functions, activities, environmental factors personal factors. Moreover, Rasch methods applied examine modify Activities-specific Balance Confidence (ABC) scale used throughout study.Results: activity score same for people largest proportion behavior derived household domain. Rural females received highest scores males more physically active than others However, leisure-time common communities. A lifestyle, living, higher level cognition, younger age, fewer depressive symptoms associated frequent participation. living restrictions. restrictions not being employed limitations advanced lower extremity capacity. Both capacity also increased likelihood better health, did upper extremities, activity. rating indicated need ABC improve its psychometric properties. modified then measure which, however, found play major role explaining or Finally, useful mapping components functioning health analyses relationships.Conclusions: results highlighted commonalities differences frequency, restrictions, old age. Some factors, such capacity, symptoms, pattern should be particular interest geriatric therapy due interventions. While associations between participation, are well known, research is needed effects environment (urban rural) presented itself important contextual variable aware when working life-style. Greater emphasis placed using improving availability quality scientific measures evaluate among adults. coordinated implementation may further advance interdisciplinary international studies aging, functioning,