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Factors influencing functional abili...

Hutchings, Barbara Lynn.

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Factors influencing functional ability among community-dwelling adults aging with developmental disabilities.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Factors influencing functional ability among community-dwelling adults aging with developmental disabilities./
Author:	Hutchings, Barbara Lynn.
Description:	279 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-12, Section: A, page: 4760.
Contained By:	Dissertation Abstracts International72-12A.
Subject:	Social Work. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3474896
ISBN:	9781124921235

Factors influencing functional ability among community-dwelling adults aging with developmental disabilities.
Hutchings, Barbara Lynn.

Factors influencing functional ability among community-dwelling adults aging with developmental disabilities. - 279 p.

Source: Dissertation Abstracts International, Volume: 72-12, Section: A, page: 4760.

Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2011.

Adults with developmental disabilities are increasingly reaching old age in significant numbers while living in community-based, non-institutional settings. The overlay of cognitive and physical age-related impairments onto existing intellectual and physical disabilities, a paucity of informal social relationships, and a limited education and low income levels place this generation at risk for premature behavioral limitations and dependency.

ISBN: 9781124921235Subjects--Topical Terms:

617587
Social Work.

Factors influencing functional ability among community-dwelling adults aging with developmental disabilities.
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020 $a 9781124921235
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100 1 $a Hutchings, Barbara Lynn. $3 2097726
245 1 0 $a Factors influencing functional ability among community-dwelling adults aging with developmental disabilities.
300 $a 279 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-12, Section: A, page: 4760.
500 $a Adviser: Allison Zippay.
502 $a Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2011.
520 $a Adults with developmental disabilities are increasingly reaching old age in significant numbers while living in community-based, non-institutional settings. The overlay of cognitive and physical age-related impairments onto existing intellectual and physical disabilities, a paucity of informal social relationships, and a limited education and low income levels place this generation at risk for premature behavioral limitations and dependency.
520 $a The purpose of this study was to explore the relationships between individual functional ability in the performance of typical self-care and household activities, personal expectations of competency, and the physical and social environment of the home to better understand how these factors contribute to both the autonomy and dependency of people aging with developmental disabilities. This study hypothesized that physiological impairment, the built environment, and personal expectations would be among the factors impacting individual functional ability level. Using a combination of qualitative and quantitative methods, this study gathered data from adults with developmental disabilities through individual in-person interviews and self-care/household task observations conducted in the participants' homes. A small sample of the consumers' direct care staff were also interviewed.
520 $a Results from the study revealed that both levels of participation and competency in the performance of self-care activities varied widely. Physical impairments, and particularly severe mobility impairments, had a stronger impact on functional ability than the cognitive impairments of the participants. Those who used wheelchairs for all mobility both reported and were observed to have very limited person-environment fit. Settings that offered a higher degree of supervision were also more likely to physically support a wide range of activities. Ninety percent of the interview participants expected to perform less well than they did during the task observation assessment. Qualitative data revealed that participants valued privacy, safety and a physically and socially supportive environment. These data also suggested factors that may have inhibited functional ability, such as an over-concern with the risks involved in participation, low perceptions of ability, and staffs' habitual caregiving behaviors. Methods of encouraging and fostering independence and autonomy in the home are discussed. Behavioral methods included having high expectations of consumers, encouraging consumers to attempt tasks that they previously may have considered too challenging, and supporting consumers to take calculated risks in order to develop judgment and increase skills. Environmental methods included providing supportive physical environments, modified to meet individual needs, and appropriate and timely home maintenance.
590 $a School code: 0190.
650 4 $a Social Work. $3 617587
650 4 $a Gerontology. $3 533633
650 4 $a Health Sciences, Aging. $3 1669845
690 $a 0452
690 $a 0351
690 $a 0493
710 2 $a Rutgers The State University of New Jersey - New Brunswick. $b Graduate School - New Brunswick. $3 1019196
773 0 $t Dissertation Abstracts International $g 72-12A.
790 $a 0190
791 $a Ph.D.
792 $a 2011
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3474896