Michael E Kalu, Vanina Dal Bello-Haas, Meridith Griffin, Sheila Boamah, Jocelyn Harris, Mashal Zaide, Daniel Rayner, Nura Khattab, Salma Abrahim, Tristan K Richardson, Nicholas Savatteri, Yimo Wang, Christian Tkachyk
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引用次数: 0
摘要
尽管许多因素与老年人的流动性有关,但很少有研究探讨影响流动性的因素的复杂性。本综述旨在综合包括认知、心理和社会流动性决定因素及其与老年人流动性自我报告和基于表现的结果之间的关联的现有证据(60 年)。我们遵循了Arksey和O’Malley的五个阶段的范围界定审查,并搜索了PubMed、EMBASE、PsychINFO、Web of Science、AgeLine、联合和补充医学数据库、护理和联合健康文献累积索引以及社会学摘要数据库。成对的评审员独立进行标题、摘要、全文筛选和数据提取。我们通过分析而不是文章报告了关联,因为文章报告了多种因素和几种流动结果的关联。关联分为显著阳性、阴性或不显著。我们纳入了在27个国家发表的183篇同行评审文章,其中大多数是在社区老年人中进行的横断面研究。183篇文章报告了630项分析,其中381项(60.5%)与预期方向的流动性结果显著相关。例如,与同龄人相比,具有更高认知功能(如更好的执行功能)的老年人具有更好的行动能力(如更快的步态速度),而具有较差心理结果(如抑郁症状)或社交网络减少等社会结果的老年人的行动能力较差(如较慢步态速度)。探索认知因素、个性(一种心理因素)和自我报告的行动结果(例如,步行代步或开车)与社会因素和老年人基于表现的行动结果之间关系的研究有限。了解认知、心理和社会因素之间的附加关系,突显了老年人在不同形式的行动中的复杂性,包括独立性、辅助设备的使用、交通和驾驶。
Cognitive, psychological and social factors associated with older adults' mobility: a scoping review of self-report and performance-based measures.
Although many factors have been associated with mobility among older adults, there is paucity of research that explores the complexity of factors that influence mobility. This review aims to synthesise the available evidence for factors comprising the cognitive, psychological, and social mobility determinants and their associations with mobility self-reported and performance-based outcomes in older adults (60 years). We followed Arksey and O'Malley's five stages of a scoping review and searched PubMed, EMBASE, PsychINFO, Web of Science, AgeLine, Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature and Sociological Abstract databases. Reviewers in pairs independently conducted title, abstract, full-text screening and data extraction. We reported associations by analyses rather than articles because articles reported multiple associations for factors and several mobility outcomes. Associations were categorised as significantly positive, negative, or not significant. We included 183 peer-reviewed articles published in 27 countries, most of which were cross-sectional studies and conducted among community-dwelling older adults. The 183 articles reported 630 analyses, of which 381 (60.5%) were significantly associated with mobility outcomes in the expected direction. For example, older adults with higher cognitive functioning such as better executive functioning had better mobility outcomes (e.g., faster gait speed), and those with poor psychological outcomes, such as depressive symptoms, or social outcomes such as reduced social network, had poorer mobility outcomes (e.g., slower gait speed) compared to their counterparts. Studies exploring the association between cognitive factors, personality (a psychological factor) and self-reported mobility outcomes (e.g., walking for transportation or driving), and social factors and performance-based mobility outcomes in older adults are limited. Understanding the additive relationships between cognitive, psychological, and social factors highlights the complexity of older adults' mobility across different forms of mobility, including independence, use of assistive devices, transportation, and driving.
期刊介绍:
Psychogeriatrics is an international journal sponsored by the Japanese Psychogeriatric Society and publishes peer-reviewed original papers dealing with all aspects of psychogeriatrics and related fields
The Journal encourages articles with gerontopsychiatric, neurobiological, genetic, diagnostic, social-psychiatric, health-political, psychological or psychotherapeutic content. Themes can be illuminated through basic science, clinical (human and animal) studies, case studies, epidemiological or humanistic research