We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Disentangling the Disabling Process: Insights From the Precipitating Events Project.
- Authors
Gill, Thomas M.
- Abstract
“Feature Article: This paper is a based on the Joseph T. Freeman Award lecture given at the Annual Meeting of The Gerontological Society of America held in New Orleans, Louisiana, in November, 2013:”Among older persons, disability in activities of daily living is common and highly morbid. The Precipitating Events Project (PEP Study), an ongoing longitudinal study of 754 initially nondisabled, community-living persons, aged 70 or older, was designed to further elucidate the epidemiology of disability, with the goal of informing the development of effective interventions to maintain and restore independent function. Over the past 16 years, participants have completed comprehensive, home-based assessments at 18-month intervals and have been interviewed monthly to reassess their functional status and ascertain intervening events, other health care utilization, and deaths. Findings from the PEP Study have demonstrated that the disabling process for many older persons is characterized by multiple and possibly interrelated disability episodes, even over relatively short periods of time, and that disability often results when an intervening event is superimposed upon a vulnerable host. Given the frequency of assessments, long duration of follow-up, and recent linkage to Medicare data, the PEP Study will continue to be an outstanding platform for disability research in older persons. In addition, as the number of decedents accrues, the PEP Study will increasingly become a valuable resource for investigating symptoms, function, and health care utilization at the end of life.
- Subjects
UNITED States; GERIATRIC assessment; MEDICARE; OLDER people with disabilities; CONFIDENCE intervals; STATISTICAL correlation; DEATH; GRIP strength; HOME care services; INTERVIEWING; LONGITUDINAL method; NEUROPSYCHOLOGICAL tests; MEDICAL care use; OARS Multidimensional Functional Assessment Questionnaire; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH funding; TIME; ACTIVITIES of daily living; REPEATED measures design; PROPORTIONAL hazards models; PSYCHOLOGICAL vulnerability; DESCRIPTIVE statistics
- Publication
Gerontologist, 2014, Vol 54, Issue 4, p533
- ISSN
0016-9013
- Publication type
Article
- DOI
10.1093/geront/gnu067