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  • 2017

  • Cimarolli, Verena R.; Boerner, Kathrin; Reinhardt, Joann P.; Horowitz, Amy; Wahl, Hans-Werner; Schilling, Oliver; Brennan-Ing, Mark (2017): A population study of correlates of social participation in older adults with age-related vision loss. In: Clinical rehabilitation 31 (1), S. 115-125. DOI: 10.1177/0269215515624479

    DOI: http://journals.sagepub.com/doi/pdf/10.1177/0269215515624479 

    Abstract: OBJECTIVE To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. DESIGN Baseline data of a larger longitudinal study. SETTING Community-based vision rehabilitation agency. SUBJECTS A total of 364 older adults with significant vision impairment due to age-related macular degeneration. MAIN MEASURES In-person interviews assessing social participation (i.e. frequency of social support contacts, social/leisure challenges faced due to vision loss, and of social support provided to others) and hypothesized correlates (e.g. visual acuity test, Functional Vision Screening Questionnaire, ratings of attachment to house and neighborhood, environmental modifications in home). RESULTS Regression analyses showed that indicators of physical, social, and mental functioning (e.g. better visual function, fewer difficulties with instrumental activities of daily living, fewer depressive symptoms) were positively related to social participation indicators (greater social contacts, less challenges in social/leisure domains, and providing more support to others). Environmental factors also emerged as independent correlates of social participation indicators when functional variables were controlled. That is, participants reporting higher attachment to their neighborhood and better income adequacy reported having more social contacts; and those implementing more environmental strategies were more likely to report greater challenges in social and leisure domains. Better income adequacy and living with more people were related to providing more social support to others. CONCLUSION Environmental variables may play a role in the social participation of older adults with age-related macular degeneration.

    Keywords: 80 and over, activities of daily living, Age Factors, Aged, Complications, Etiology, Female, Gerontologie, Humans, Longitudinal Studies, Macular Degeneration, Male, PSYCHOLOGY, Social Participation, Soziale Teilhabe, Sozialpsychologie, Vision Disorder
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