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在老年人和OA患者中社区行走 - 使用加拿大长度老龄化研究 (CLSA) 数据进行模型验证

Ruth Barclay¹, Yixiu Liu², Jacquie Ripat³

¹Department of Physical Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, R106-771 McDermot Ave, Winnipeg, Manitoba, R3E 0T6, Canada. ruth.barclay@umanitoba.ca.

|January 6, 2024

概括

社区行走对于老年人来说至关重要,但许多人不会在户外散步. 这项研究验证了一种模型,表明健康感知和功能移动性对老年人和患有骨关节炎的人群的社区行走有积极的影响.

科学领域:

老年学是一门学科.
公共卫生公共卫生
流行病学流行病学

背景情况:

社区行走提供了显著的健康和福祉益处.
许多老年人 (65岁以上) 和患有骨关节炎的成年人 (OA,45-85) 不经常在户外散步.
了解影响社区行走的因素对于有针对性的干预至关重要.

研究的目的:

估计潜伏构造和社区行走之间的关联.
验证一个结构方程模型,用于老年人 (65岁以上) 和患有骨关节炎 (OA) 的成年人社区行走.
为更广泛的老年人和OA人群适应中风后社区行走模型.

主要方法:

加拿大长度老化研究 (CLSA) 基线的二次数据分析和维护联系问卷.
结构方程建模 (SEM) 用于开发和测试测量和结构模型.
多组SEM评估了跨性别和年龄组的测量不变性,检查了健康感知,功能移动性和抑郁症等因素.

主要成果:

开发的SEM模型显示,它适用于65岁以上 (RMSEA=0.018,CFI=0.91) 和OA (RMSEA=0.021,CFI=0.92) 的组.
在健康感知,定时功能移动性和社区行走之间发现了积极的关联.
抑郁症通过健康感知和功能移动性间接地对行走产生了负面影响.

结论:

社区行走模型最初是为中风后患者开发的,现在已经被证实适用于65岁以上的成年人和患有OA的人.
这些经过验证的模型为概念化和研究社区行走提供了一个框架.
这些发现支持开发旨在改善不同老年人群社区行走的临床干预措施.

关键词:

这就是CLSA CLSA.社区行走服务.年龄较大的成年人.骨关节炎是一种骨关节炎.结构方程建模结构方程建模

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