title: Self-determination among community-dwelling older persons: explanatory factors.
abstract: BACKGROUND
  Although it is acknowledged that exercising self-determination in daily activities affects older people's health and well-being, few studies have focused on the explanatory factors for self-determination in daily life.
  
  
  OBJECTIVE
  To investigate explanatory factors for self-determination in the context of community-dwelling older persons.
  
  
  METHODS
  This cross-sectional study combined two sets of data that included community-dwelling persons 80 years and older (n = 456). A bivariate logistic regression was performed to analyse the association of self-determination and a set of explanatory factors.
  
  
  RESULTS
  The final bivariate logistic regression model revealed five explanatory factors that were significantly associated with perceiving reduced self-determination: high education (OR = 2.83), frailty (OR = 2.70), poor self-rated health (OR = 2.54), dissatisfaction with physical health (OR = 6.50), and receiving help from public homecare service (OR = 2.46).
  
  
  CONCLUSIONS
  Several explanatory factors related to the ageing body and environmental aspects were associated with reduced self-determination. To help older people maintain self-determination, healthcare professionals should consider using a person-centred and capability approach to care.
authors.affiliation: a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ;|b Department of Occupational Therapy and Physiotherapy , the Sahlgrenska University Hospital , Gothenburg , Sweden ;|c Centre of Aging and Health-AGECAP , University of Gothenburg , Gothenburg , Sweden ;
authors.forename: Isabelle
authors.initials: I
authors.lastname: Ottenvall Hammar
authors.affiliation: a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ;|c Centre of Aging and Health-AGECAP , University of Gothenburg , Gothenburg , Sweden ;
authors.forename: Synneve
authors.initials: S
authors.lastname: Dahlin-Ivanoff
authors.affiliation: a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ;|c Centre of Aging and Health-AGECAP , University of Gothenburg , Gothenburg , Sweden ;|d Department of Geriatrics , the Sahlgrenska University Hospital , Gothenburg , Sweden.
authors.forename: Katarina
authors.initials: K
authors.lastname: Wilhelmson
authors.affiliation: a Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, the Sahlgrenska Academy , University of Gothenburg , Gothenburg , Sweden ;|c Centre of Aging and Health-AGECAP , University of Gothenburg , Gothenburg , Sweden ;
authors.forename: Kajsa
authors.initials: K
authors.lastname: Eklund
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006304:Health Status; D006699:Home Care Services; D006801:Humans; D057187:Independent Living; D008297:Male; D010465:Perception; D026684:Personal Autonomy
keywords: Activities of daily living (ADL); aged 80 and over; capability; cross-sectional study; decision-making