title: Attitudes towards rehabilitation needs and support from assistive technology and the social environment among elderly people with disability.
abstract: This study aimed to survey the attitudes of elderly people with disabilities who were living at home regarding their support from assistive technology and the social environment. These attitudes were compared with their identified needs by an occupational therapist and in relation to perception of social engagement, loneliness and overall contentment with life. From a sample of 102 participants who were interviewed using a standardized procedure, 53 persons were included in the study. The results indicated that attitudes among elderly people towards social and occupational engagement and change have a greater influence on their rehabilitation status than their disability as indicated by their health condition and limitations in activities of daily living and instrumental activities of daily living. The elderly people who accepted rehabilitation were more able, and were better equipped and better supported with assistive technology, than those who declined rehabilitation. Rehabilitation needs that the occupational therapists recognized were not always shared by the disabled elderly people, for several reasons; one reason of particular importance was the elderly person's attitude towards change and social engagement. However, the small sample size limits the generalization of the findings to the population of elderly people with disabilities. An ethnographic research design that allows for repeated interviews and observations of elderly people with disabilities for a prolonged period of time in their ordinary everyday lives may present an avenue for future research and lead to a deeper understanding of the issues.
authors.affiliation: Department of Neurotec, Occupational Therapy Division, Karolinska Institutet, Stockholm, Sweden. margareta.lilja@neurotec.ki.se
authors.forename: Margareta
authors.initials: M
authors.lastname: Lilja
authors.forename: Anders
authors.initials: A
authors.lastname: Bergh
authors.forename: Lennarth
authors.initials: L
authors.lastname: Johansson
authors.forename: Louise
authors.initials: L
authors.lastname: Nygård
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D006233:Persons with Disabilities / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D015577:Geriatric Assessment; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D012656:Self-Help Devices; D012944:Social Support