Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis
Objectives While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive sym...
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| Veröffentlicht in: | International journal of geriatric psychiatry 2023-01, Vol.38 (1), p.e5875-n/a |
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| creator | Lech, Sonia Mümken, Sandra Kessler, Eva‐Marie Gellert, Paul |
| description | Objectives
While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life‐space mobility and outpatient health care utilization.
Methods
Cross‐sectional data from 197 community‐dwelling older adults with care needs and clinical depression was collected. Life‐space assessment composite score (LS‐C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS‐12) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted.
Results
Mean LS‐C score was 31.8 (SD = 17.7, range: 0–92), indicating low mobility levels. Depressive symptoms (β = −0.21, p = 0.001) and iADL (β = 0.54, p < 0.001) were significantly related with life‐space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (β = −0.07, 0.17, p = 0.26). Moreover, life‐space mobility was positively associated with primary care (β = 0.19, p = 0.02) and mental health care utilization (β = 0.33, p < 0.001).
Conclusions
Life‐space mobility appears to be largely restricted in home‐living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive mental health outpatient treatment in their own home.
Clinical trial registration
The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).
Key points
Depressive symptoms play a unique role in life‐space mobility among home‐living older adults with care needs and clinical depression
High vulnerability of the sample is displayed in a relatively low mean LS‐C score, measuring life‐space mobility
Life‐space mobility among home‐living older adults with care needs and clinical depression is associated with primary and mental health care utilization
Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive o |
| doi_str_mv | 10.1002/gps.5875 |
| format | Article |
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While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life‐space mobility and outpatient health care utilization.
Methods
Cross‐sectional data from 197 community‐dwelling older adults with care needs and clinical depression was collected. Life‐space assessment composite score (LS‐C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS‐12) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted.
Results
Mean LS‐C score was 31.8 (SD = 17.7, range: 0–92), indicating low mobility levels. Depressive symptoms (β = −0.21, p = 0.001) and iADL (β = 0.54, p < 0.001) were significantly related with life‐space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (β = −0.07, 0.17, p = 0.26). Moreover, life‐space mobility was positively associated with primary care (β = 0.19, p = 0.02) and mental health care utilization (β = 0.33, p < 0.001).
Conclusions
Life‐space mobility appears to be largely restricted in home‐living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive mental health outpatient treatment in their own home.
Clinical trial registration
The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).
Key points
Depressive symptoms play a unique role in life‐space mobility among home‐living older adults with care needs and clinical depression
High vulnerability of the sample is displayed in a relatively low mean LS‐C score, measuring life‐space mobility
Life‐space mobility among home‐living older adults with care needs and clinical depression is associated with primary and mental health care utilization
Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive outpatient treatment in their own home</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.5875</identifier><identifier>PMID: 36647245</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Activities of daily living ; Activities of Daily Living - psychology ; Aged ; Clinical significance ; Cross-Sectional Studies ; Depression - psychology ; depressive symptoms ; Geriatric psychiatry ; Health care ; health care utilization ; Health services utilization ; home‐living older adults ; Humans ; Independent Living ; life‐space mobility ; Mental depression ; Mental health ; Mobility ; Older people ; Primary care ; Social Participation</subject><ispartof>International journal of geriatric psychiatry, 2023-01, Vol.38 (1), p.e5875-n/a</ispartof><rights>2023 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3835-7f03121e2dae50da56c5595a03ef4ed65874130a92a722bee945c83fa319508c3</citedby><cites>FETCH-LOGICAL-c3835-7f03121e2dae50da56c5595a03ef4ed65874130a92a722bee945c83fa319508c3</cites><orcidid>0000-0001-9166-1258</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.5875$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.5875$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36647245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lech, Sonia</creatorcontrib><creatorcontrib>Mümken, Sandra</creatorcontrib><creatorcontrib>Kessler, Eva‐Marie</creatorcontrib><creatorcontrib>Gellert, Paul</creatorcontrib><title>Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis</title><title>International journal of geriatric psychiatry</title><addtitle>Int J Geriatr Psychiatry</addtitle><description>Objectives
While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life‐space mobility and outpatient health care utilization.
Methods
Cross‐sectional data from 197 community‐dwelling older adults with care needs and clinical depression was collected. Life‐space assessment composite score (LS‐C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS‐12) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted.
Results
Mean LS‐C score was 31.8 (SD = 17.7, range: 0–92), indicating low mobility levels. Depressive symptoms (β = −0.21, p = 0.001) and iADL (β = 0.54, p < 0.001) were significantly related with life‐space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (β = −0.07, 0.17, p = 0.26). Moreover, life‐space mobility was positively associated with primary care (β = 0.19, p = 0.02) and mental health care utilization (β = 0.33, p < 0.001).
Conclusions
Life‐space mobility appears to be largely restricted in home‐living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive mental health outpatient treatment in their own home.
Clinical trial registration
The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).
Key points
Depressive symptoms play a unique role in life‐space mobility among home‐living older adults with care needs and clinical depression
High vulnerability of the sample is displayed in a relatively low mean LS‐C score, measuring life‐space mobility
Life‐space mobility among home‐living older adults with care needs and clinical depression is associated with primary and mental health care utilization
Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive outpatient treatment in their own home</description><subject>Activities of daily living</subject><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Clinical significance</subject><subject>Cross-Sectional Studies</subject><subject>Depression - psychology</subject><subject>depressive symptoms</subject><subject>Geriatric psychiatry</subject><subject>Health care</subject><subject>health care utilization</subject><subject>Health services utilization</subject><subject>home‐living older adults</subject><subject>Humans</subject><subject>Independent Living</subject><subject>life‐space mobility</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Mobility</subject><subject>Older people</subject><subject>Primary care</subject><subject>Social Participation</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kd9q2zAUh0XpWNNu0CcYgt70xpn-WLZ1GcLaFQIdtL02inScqMiWJ9kruSj0EXqxJ-yTVEmzDQa9kZDOx3d09EPolJIpJYR9XfVxKqpSHKAJJVJmlBbFIZqQqhJZwTg5Qscx3hOSarT6iI54UeQly8UEPS5sAy9Pz7FXGnDrl9bZYYNV67sVXvt2W3P2l00n7wwErMzohogf7LDGWgXAHYCJWHUGa2c7q5XDBvoAMVrfvTz9nmEdfIzbHqCHdJcAlZZNtPET-tAoF-Hzfj9Bdxffbuffs8X15dV8tsg0r7jIyoZwyigwo0AQo0ShhZBCEQ5NDqZIo-eUEyWZKhlbAshc6Io3ilMpSKX5CTp_8_bB_xwhDnVrowbnVAd-jDUr04dwkpcioWf_ofd-DOm9O0rKSvKS_BPuZgvQ1H2wrQqbmpJ6G0mdIqm3kST0y144Llswf8E_GSQgewMerIPNu6L68sfNTvgKCMWZ6Q</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Lech, Sonia</creator><creator>Mümken, Sandra</creator><creator>Kessler, Eva‐Marie</creator><creator>Gellert, Paul</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9166-1258</orcidid></search><sort><creationdate>202301</creationdate><title>Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis</title><author>Lech, Sonia ; Mümken, Sandra ; Kessler, Eva‐Marie ; Gellert, Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3835-7f03121e2dae50da56c5595a03ef4ed65874130a92a722bee945c83fa319508c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of daily living</topic><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Clinical significance</topic><topic>Cross-Sectional Studies</topic><topic>Depression - psychology</topic><topic>depressive symptoms</topic><topic>Geriatric psychiatry</topic><topic>Health care</topic><topic>health care utilization</topic><topic>Health services utilization</topic><topic>home‐living older adults</topic><topic>Humans</topic><topic>Independent Living</topic><topic>life‐space mobility</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Mobility</topic><topic>Older people</topic><topic>Primary care</topic><topic>Social Participation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lech, Sonia</creatorcontrib><creatorcontrib>Mümken, Sandra</creatorcontrib><creatorcontrib>Kessler, Eva‐Marie</creatorcontrib><creatorcontrib>Gellert, Paul</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lech, Sonia</au><au>Mümken, Sandra</au><au>Kessler, Eva‐Marie</au><au>Gellert, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int J Geriatr Psychiatry</addtitle><date>2023-01</date><risdate>2023</risdate><volume>38</volume><issue>1</issue><spage>e5875</spage><epage>n/a</epage><pages>e5875-n/a</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><abstract>Objectives
While life‐space mobility is key for wellbeing, social participation and access to health care, vulnerable older adults face physical and mental barriers that may restrict mobility. The present exploratory study examined associations between physical functional limitations, depressive symptoms, life‐space mobility and outpatient health care utilization.
Methods
Cross‐sectional data from 197 community‐dwelling older adults with care needs and clinical depression was collected. Life‐space assessment composite score (LS‐C), instrumental activities of daily living scale (iADL), Geriatric Depression Scale (GDS‐12) and outpatient health care utilization have been assessed. Multiple regression analyses were conducted.
Results
Mean LS‐C score was 31.8 (SD = 17.7, range: 0–92), indicating low mobility levels. Depressive symptoms (β = −0.21, p = 0.001) and iADL (β = 0.54, p < 0.001) were significantly related with life‐space mobility, over and above age and living alone. An interaction effect between depressive symptoms and iADL was not significant (β = −0.07, 0.17, p = 0.26). Moreover, life‐space mobility was positively associated with primary care (β = 0.19, p = 0.02) and mental health care utilization (β = 0.33, p < 0.001).
Conclusions
Life‐space mobility appears to be largely restricted in home‐living vulnerable older adults with clinically significant depression; and factors associated with these restrictions appear to be physical and mental. The interplay of depression, mobility and health care utilization and its potential for interventional approaches need further investigations. Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive mental health outpatient treatment in their own home.
Clinical trial registration
The trial was prospectively registered with the ISRCTN registry (Trial registration number: ISRCTN55646265, registered February 15, 2019).
Key points
Depressive symptoms play a unique role in life‐space mobility among home‐living older adults with care needs and clinical depression
High vulnerability of the sample is displayed in a relatively low mean LS‐C score, measuring life‐space mobility
Life‐space mobility among home‐living older adults with care needs and clinical depression is associated with primary and mental health care utilization
Present findings underline an urgent need for new health care services that allow mobility‐impaired older patients to receive outpatient treatment in their own home</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36647245</pmid><doi>10.1002/gps.5875</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9166-1258</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 0885-6230 1099-1166 |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Activities of daily living Activities of Daily Living - psychology Aged Clinical significance Cross-Sectional Studies Depression - psychology depressive symptoms Geriatric psychiatry Health care health care utilization Health services utilization home‐living older adults Humans Independent Living life‐space mobility Mental depression Mental health Mobility Older people Primary care Social Participation |
| title | Life‐space mobility among home‐living older adults with care needs and clinical depression—A cross‐sectional analysis |
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