The objective of this paper is to examine the community participation differences between adults ... more The objective of this paper is to examine the community participation differences between adults with disabilities <50 and 50≥ years of age and the differences between individuals with early-and late-onset of disability. A survey examining community participation was conducted with a national convenience sample of 692 community dwelling people with disabilities ages 18–75 years. The influence of pain and fatigue, physical environmental and personal supports, were examined. Individuals <50 years had a higher average number of visits to Restaurants, Movie Theaters, and Shopping Malls; experienced less influence of pain and fatigue; and reported presence of more environmental supports for Work/Volunteer/Education, Transportation and DME Sites. Individuals 50≥ years had a higher average number of visits to Pharmacies, experienced higher EQOP in Gas Stations, Exercise Facilities, Beauty Salons/Barber Shops, and Transportation; and reported more difficulty participating in activities without assistance at Grocery Stores and Gas Stations. The onset disability 40> years group reported higher EQOP levels in Work/Volunteer/Education, Visiting Homes of Family/Friends and Exercise Facilities, and experienced a greater influence of pain and fatigue. The older adults and individuals living with their disability longer tend to have more frequent, higher quality participation but report fewer leisure outings.
Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history o... more Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods: We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results: Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08). Conclusions: Older adults (aged ≥65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning. Clinical Implications: Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.
Both CZ and MS were involved in the design of this experiment, data collection, coding, data anal... more Both CZ and MS were involved in the design of this experiment, data collection, coding, data analysis, and writing of this document.
The objective of this paper is to examine the community participation differences between adults ... more The objective of this paper is to examine the community participation differences between adults with disabilities <50 and 50≥ years of age and the differences between individuals with early-and late-onset of disability. A survey examining community participation was conducted with a national convenience sample of 692 community dwelling people with disabilities ages 18–75 years. The influence of pain and fatigue, physical environmental and personal supports, were examined. Individuals <50 years had a higher average number of visits to Restaurants, Movie Theaters, and Shopping Malls; experienced less influence of pain and fatigue; and reported presence of more environmental supports for Work/Volunteer/Education, Transportation and DME Sites. Individuals 50≥ years had a higher average number of visits to Pharmacies, experienced higher EQOP in Gas Stations, Exercise Facilities, Beauty Salons/Barber Shops, and Transportation; and reported more difficulty participating in activities without assistance at Grocery Stores and Gas Stations. The onset disability 40> years group reported higher EQOP levels in Work/Volunteer/Education, Visiting Homes of Family/Friends and Exercise Facilities, and experienced a greater influence of pain and fatigue. The older adults and individuals living with their disability longer tend to have more frequent, higher quality participation but report fewer leisure outings.
Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history o... more Objective: Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods: We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results: Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08). Conclusions: Older adults (aged ≥65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning. Clinical Implications: Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.
Both CZ and MS were involved in the design of this experiment, data collection, coding, data anal... more Both CZ and MS were involved in the design of this experiment, data collection, coding, data analysis, and writing of this document.
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Papers by Makenna Snyder