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Related Experiment Videos

Disability in the oldest old: "can do" or "do do"?

A Bootsma-van der Wiel1, J Gussekloo, A J de Craen

  • 1Section of Gerontology and Geriatrics, Department of General Internal Medicine, Leiden University Medical Center, the Netherlands.

Journal of the American Geriatrics Society
|August 31, 2001
PubMed
Summary
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Discrepancies between ability and actual performance in daily living activities are common in older adults. Focusing on promoting actual performance, especially in instrumental activities of daily living, can help reduce disability estimates.

Area of Science:

  • Gerontology
  • Public Health
  • Activities of Daily Living Research

Background:

  • Assessing disability in older adults requires understanding the gap between 'can do' (competence) and 'do do' (actual performance).
  • Previous studies often focus on one aspect, potentially leading to inaccurate disability prevalence rates.

Purpose of the Study:

  • To investigate discrepancies between competence and actual performance in basic and instrumental activities of daily living (ADLs) among the oldest old.
  • To determine the prevalence of disability based on both competence and actual performance measures.

Main Methods:

  • Baseline data from the population-based Leiden 85-Plus Study in the Netherlands.
  • Face-to-face interviews with 599 participants aged 85, assessing competence and actual performance using the Groningen Activity Restriction Scale.

Related Experiment Videos

  • Analysis of basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs) separately.

    • Main Results:

    • High competence in basic activities of daily living (BADLs), but significant discrepancies with actual performance, especially for women.
    • A substantial gap exists between competence and actual performance in instrumental activities of daily living (IADLs), with most individuals not performing regularly despite being competent.
    • Disability prevalence varied significantly depending on whether it was defined by inability or inactivity.

    Conclusions:

    • Structural discrepancies between competence and actual performance have significant implications for estimating disability in the elderly.
    • Promoting actual performance in instrumental activities of daily living (IADLs) is crucial for potentially reducing disability estimates and improving quality of life.