title: Growing Older With a Physical Disability: A Special Application of the Successful Aging Paradigm.
abstract: OBJECTIVE
  In the United States, the average age of people living with early-acquired physical disabilities is increasing. This cohort is said to be aging with disability and represents a unique population among older adults. Given recent policy efforts designed to merge aging and disability services, it is critical that models of "successful aging" include and are relevant to this population. However, many current definitions of successful aging emphasize avoidance of disability and high levels of physical function as necessary to well-being.
  
  
  METHODS
  In 9 focus groups, we examined perspectives of "successful aging" in 49 middle-aged and older individuals living with spinal cord injury, multiple sclerosis, muscular dystrophy, or postpolio syndrome. Transcripts were analyzed using a structured qualitative coding approach and Dedoose indexing software.
  
  
  RESULTS
  Participants ranged in age from 45 to 80 years (M = 62) and had lived with their disability diagnosis for an average of 21 years. Analysis revealed 4 primary themes of successful aging: resilience/adaptation, autonomy, social connectedness, and physical health (including access to general and specialty healthcare).
  
  
  CONCLUSIONS
  Results highlight the need for a nuanced application of the "successful aging" paradigm in this population.
authors.affiliation: Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Ivan R
authors.initials: IR
authors.lastname: Molton
authors.affiliation: Department of Rehabilitation Medicine, University of Washington, Seattle.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Yorkston
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000523:psychology*; D009136:Muscular Dystrophies / Q000523:psychology*; D016262:Postpoliomyelitis Syndrome / Q000523:psychology*; D013119:Spinal Cord Injuries / Q000523:psychology*; D014861:Washington
keywords: Physical disability; Rehabilitation; Successful aging