Dissatisfaction and Nonuse of Assistive Devices Among Frail Elders

This article is based on the Rehabilitation Engineering Research Center on Aging Consumer Assessments Study. The sample included 1,056 subjects who reported use or nonuse of assistive devices. Of these subjects, 873 identified reasons for not using or being dissatisfied with certain assistive devices. Study participants owned a mean of 14.2 assistive devices, used 84.8% of the devices they owned, and were satisfied with 84.2% of the devices they owned. Devices were grouped into categories based on the type of impairment they addressed (hearing, vision, cognitive, and musculoskeletal/neuromotor). Study participants owned the largest number of devices in the musculoskeletal/neuromotor category (mean of 10.6 devices). Devices in the hearing impairment category were rated lowest by participants in terms of satisfaction. Almost half of all reasons listed for not using certain assistive devices related to perceived lack of need.

[1]  L. Gitlin,et al.  Factors Predicting Assistive Device Use in the Home by Older People Following Rehabilitation , 1996, Journal of aging and health.

[2]  William C. Mann,et al.  Patterns of engagement in leisure activity by older adults using assistive devices , 1999 .

[3]  L H Kraskowsky,et al.  Factors affecting older adults' use of adaptive equipment: review of the literature. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[4]  A J Moss,et al.  Assistive technology devices and home accessibility features: prevalence, payment, need, and trends. , 1992, Advance data.

[5]  W. Mann,et al.  Comparison of assistive device use and needs of home-based older persons with different impairments. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[6]  William C. Mann,et al.  Comparison of the UB-RERC-Aging Consumer Assessments Study with the 1986 NHIS and the 1987 NMES , 1997 .

[7]  G Strong,et al.  The stability of impact of assistive devices. , 2001, Disability and rehabilitation.

[8]  W. Mann,et al.  Use of Assistive Devices for Bathing by Elderly Who are Not Institutionalized , 1996 .

[9]  Gerda G. Fillenbaum,et al.  Multidimensional Functional Assessment of Older Adults: The Duke Older Americans Resources and Services Procedures , 1988 .

[10]  R. Karpman Problems and pitfalls with assistive devices , 1992 .

[11]  W. Forbes,et al.  Factors associated with self-reported use and non-use of assistive devices among impaired elderly residing in the community. , 1993, Canadian journal of public health = Revue canadienne de sante publique.

[12]  William C. Mann,et al.  Perspectives on assistive devices among elderly persons with disabilities , 1998 .

[13]  W C Mann,et al.  Elder Acceptance of Health Monitoring Devices in the Home , 2002, Care Management Journals.

[14]  R. Martin,et al.  Usage and effectiveness of rails, bathing and toileting AIDS. , 1996, Occupational therapy in health care.

[15]  K. Engedal,et al.  The Mini‐Mental State Examination: Identifying the Most Efficient Variables for Detecting Cognitive Impairment in the Elderly , 1992, Journal of the American Geriatrics Society.

[16]  Ann Buysse,et al.  A social-cognitive model to predict the use of assistive devices for mobility and self-care in elderly people. , 2002, The Gerontologist.