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Updated: May 21, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Change in function in activities of daily living associated with lower community participation for adults with Down
Angela Caldwell1, Jennie L Dorris1, Elizabeth Gilbert2
1Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Background:
Adults with Down syndrome have demonstrated lower rates of community participation, which is known to reflect a poorer quality of life. This cross-sectional study used survey data completed by 27 care partners of adults with Down syndrome to understand if lower community participation was associated with a recent decreased independence in activities of daily living.
Method:
Decreased independence in activities of daily living were examined using the NTG-Early Detection Screen for Dementia. The frequency of participation was reported using the Guernsey Community Participation and Leisure Assessment.
Results:
All changes in activities of daily living showed statistically significant associations with lower participation. Decreased independence in dressing was most strongly associated with a lower frequency of visiting museums (ρ=-0.533, p = .006).
Conclusions:
Decreased independence in activities of daily living may be useful clinical indicators of lower community participation.
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