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Research Article  |   May 2003
After Rehabilitation: An 18-Month Follow-Up of Elderly Inner-City Women
Author Affiliations
  • Catherine L. Lysack, PhD, OT(C), is Assistant Professor, Institute of Gerontology and Department of Occupational Therapy, Wayne State University, and is Research Associate, Rehabilitation Institute of Michigan, Detroit, Michigan. Mailing address: Institute of Gerontology, 87 E. Ferry, 231 Knapp Building, Wayne State University, Detroit, Michigan, 48202; c.lysack@wayne.edu
  • Stewart Neufeld, PhD, is Assistant Professor, Institute of Gerontology, Wayne State University, Detroit, Michigan
  • Benjamin T. Mast, PhD, is Assistant Professor, Department of Psychological and Brain Sciences, University of Louisville, Louisville, Kentucky
  • Susan E. MacNeill, PhD, is Senior Neuropsychologist, Henry Ford Health System, Detroit, Michigan
  • Peter A. Lichtenberg, PhD, is Director, Institute of Gerontology and Professor of Psychology, Wayne State University, Detroit, Michigan
Article Information
Geriatrics/Productive Aging / Rehabilitation, Participation, and Disability / Habilitation and Rehabilitation
Research Article   |   May 2003
After Rehabilitation: An 18-Month Follow-Up of Elderly Inner-City Women
American Journal of Occupational Therapy, May/June 2003, Vol. 57, 298-306. doi:10.5014/ajot.57.3.298
American Journal of Occupational Therapy, May/June 2003, Vol. 57, 298-306. doi:10.5014/ajot.57.3.298
Abstract

OBJECTIVE. Elderly inner-city women (n = 125) greater than the age of 60 and living alone and who were consecutively admitted to a large, urban, university-based rehabilitation hospital were followed to (a) examine the power of standardized clinical measures to predict who was living alone 18 months after discharge, (b) determine whether live-alone women at 18 months’ follow-up were more independent in instrumental activities of daily living (IADL) than women who were not living alone, and (c) investigate whether women who return home to live alone and have low or declining physical function are at risk for subsequent relocation or death.

METHOD. Data from four standardized assessments (physical function, cognition, comorbidity, and depression) and demographic information were gathered during in-patient rehabilitation. Self-report IADL data were collected via telephone interviews at 3, 6, and 18 months’ follow-up.

RESULTS. Statistical analysis of results showed that physical function, cognition, and comorbidity were significant and independent predictors of living alone at 18 months’ follow-up. Women living alone at 18 months reported significantly greater IADL independence than women who were not living alone. Path analysis confirmed that the relationship between the clinical measures and living situation at 18 months was mediated by self-reported IADL functioning.

CONCLUSION. Standard clinical data obtained at discharge are useful to identify who can return home to live alone after rehabilitation, but in-home assessment of IADL remains key to understanding the complex skills required to live alone.