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Updated: Aug 8, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Models of helping and coping, responsibility attributions, and well-being in community elderly and their helpers
J Karuza1, M A Zevon, T A Gleason
1Multidisciplinary Center on Aging, State University of New York, Buffalo 14214.
Abstract:
The analysis of Brickman et al. (1982), which separates attribution of a problem's cause and solution, was tested in 4 studies. Young and elderly adults' (n = 210) well-being was related only to taking responsibility for solutions. The elderly compared with the young adults assumed less responsibility for problem cause and solution. They also preferred helping and coping models that assume low self-responsibility for solutions (e.g., medical model). This result was replicated with Meals on Wheels clients (n = 51). An intragenerational helping pattern was found in Study 3. Lay helpers (n = 63) helped mainly same-age recipients. Elderly and middle-aged helpers compared with young adults preferred using a medical model. Overall, a cohort bias in model preference was suggested. In Study 4, problem type and recipient age moderated attributions and model choice of young and middle-aged Ss (n = 92). Relevance to the control literature and ethical and clinical implications of a medical-model bias are discussed.
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