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  • 2015

  • Deck, R.; Walther, A. L.; Staupendahl, A.; Katalinic, A. (2015): Einschränkungen der Teilhabe in der Bevölkerung - Normdaten für den IMET auf der Basis eines Bevölkerungssurveys in Norddeutschland. In: Die Rehabilitation 54 (6), S. 402-408. DOI: 10.1055/s-0035-1559670

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/26676739 

    Abstract: BACKGROUND Medical rehabilitation in Germany is characterized by the biopsychosocial model of the ICF. Its complexity makes it less suitable for studies in rehabilitation sciences. For an implementation of the ICF, specific assessment instruments that are able to measure activity and participation efficiently in rehabilitation are needed. Instruments measuring social participation are rarely available in German language and have been employed only in a handful of empirical works. The "Index zur Messung von Einschränkungen der Teilhabe" (IMET) was developed in 2005 and measures participation of people with different chronic diseases as described in the ICF. The IMET has been applied in many studies in rehabilitation science, but as reference values were not available so far, the results could not be classified. METHOD In a population survey, 5 004 residents in Luebeck were randomly selected by the registration office and sent a short questionnaire. The questionnaire contained questions on the overall state of health, quality of life, prevalence of chronic diseases and limitations of participation (IMET). RESULTS The completed questionnaire was returned by 2 755 of 4 692 eligible people (58.7%). 731 residents declined participation. Therefore, the participation quota is 43.1%. The mean age of participants was 53 years (SD: 17.1), 53% were women.Limitations of participation varied according to sex and age. Men tended to be more limited in their participation. As expected, limitations in participation increased with age. Participants with a low level of education showed a significantly higher rate of participation restrictions than people with a higher level of education. The IMET correlated significantly with the health status and quality of life as well as with the prevalence of various chronic diseases. DISCUSSION The random sample of Luebeck inhabitants comprised people between 19 and 79 years of age. The age distribution of our sample deviated from the German population with younger people being underrepresented, and older people being overrepresented. With respect to the educational level, the random sample of the Hanseatic city showed a larger proportion of people with higher education.In this population sample, there was a sex and age-related variation in restriction in participation and this correlated highly with content-related constructs. Norm values for the IMET enable classification of limitations of participation for people undergoing rehabilitation or patients suffering from chronic diseases.

    Keywords: Adult, Age Distribution, Aged, Chronic Disease/epidemiology/psychology/rehabilitation, Disability Evaluation, Disabled Persons/psychology/statistics & numerical data, Female, Germany/epidemiology, Gesundheit, Health Status, Health Status Indicators, Humans, International Classification of Functioning, Disability and Health, Male, Middle Aged, Patient Participation/psychology/statistics & numerical data, Prevalence, Quality of Life/psychology, Reference Values, Risk Assessment, Social Participation/psychology, Soziale Teilhabe, Surveys and Questionnaires, Überblick

  • 2013

  • Lewis, Jordan P. (2013): The importance of optimism in maintaining healthy aging in rural Alaska. In: Qualitative health research 23 (11), S. 1521-1527. DOI: 10.1177/1049732313508013

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/24122515 

    Abstract: Many Alaska Native Elders attended government-run boarding schools as children, were forbidden to speak their native language, and were forced to abandon their traditional subsistence lifestyle, yet they maintained an optimistic outlook on life and continued to age well. The Explanatory Model Interview Protocol was adapted to interview a purposive sample of Alaska Native Elders (n = 26) and grounded theory was used to develop a model of successful aging for Alaska Native Elders in Bristol Bay, Alaska. The theme of optimism was significant in the findings and was also found in each of the elements of successful aging, which were spirituality, emotional well-being, community engagement, and physical health. These four elements served as the foundation of the Model of Successful Aging. The Elders believed they were able to age successfully because they continued to be optimistic despite the challenges they faced (and are currently facing) in their communities.

    Keywords: 80 and over, Aged, Alaska, Beeinflussung der Bewertung moralischer Urteile, Culture, Design, Educational Status, Emotions, Female, Health Status, Humans, Indians, Interpersonal Relations, Interviews as Topic, Male, Middle Aged, North-American, Optimismus, PSYCHOLOGY, Qualitative research, Rural Population, Spirituality
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