ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstract Number: 2633

Independence At Home: Real or Perceived

Hazel L. Breland, Health Professions, Division of Occupational Therapy, Medical University of South Carolina, Charleston, SC

Meeting: 2012 ACR/ARHP Annual Meeting

Keywords: activities of daily living (ADL), African-Americans, occupational therapy and rheumatic disease

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print
Session Information

Title: Clinical and Rehabilitative Aspects of Osteoarthritis

Session Type: Abstract Submissions (ARHP)

Background/Purpose:

Rheumatic conditions are more prevalent among women than men and increase with age. Over 4 million African Americans affected are by rheumatic conditions and yet disparities and underrepresentation of this group exist in research studies. The burden of physical disability confronting older African American women can affect their ability to engage in everyday activities. Thus, performance-based data are needs in the home environment where effective patient management and aging in place occurs. However, differences exist between self-report and performance-based data. Therefore, the purpose of this descriptive, non-intervention study uses mixed methods to identify the degree of concordance between self-reported performance capabilities and real-time performance of criterion-referenced task situations within the home environment.

Methods:

Eighteen community-dwelling African American females with rheumatic conditions (age 64.7, widowed = 38.9%, living with family = 50%, self-reported quality of life = “good”) participated in brief qualitative interviews on the perception of participation in daily activities and home safety. During the in-home assessment, participants completed demographic questionnaires, the PASS-SR (self-report of performance capabilities, what they “could do” compared to what they “routinely do”, and the PASS-Home (observational data of real-time performance of 26 criterion-referenced, standardized task situations). The PASS-Home includes 4 domains: basic ADL (dressing), physical and cognitive instrumental ADL (IADL-physical: sweeping & IADL-cognitive: managing home safety), and functional mobility (indoor walking). The interviews were audio-recorded and transcribed verbatim. Content analysis was used for initial codes and summary statements were generated for each code. Based on summary statements data were aggregated into eight key themes. Data from the interviews, PASS-SR, and PASS-Home were integrated. Concordance was defined as the percent agreement between self-reported capability (PASS-SR) and performance-based (PASS-Home) data of task situations.

Results: Generally, participants reported that physical factors of rheumatic conditions negatively affected their lives with regard to symptoms triggers, physical problems, limitations on their activity, and safety concerns. Chores, daily living, and movement were the most prominent symptoms triggers. The primary safety concerns included falling, difficulty-using hands, and lack of proper safety equipment. Percent agreement between self-reported capability on the PASS-SR and performance-based data of the task situations (PASS-Home) ranged from 22.2% (4 of 18) for functional mobility-stair use to 94.4% (17 of 18) for IADL (current event) obtaining critical audio information from the media and IADL (money management) checkbook balancing. There were 9 of 26 task situations with less than 50% concordance.

Conclusion: Using mixed methods, we were able to examine real and perceived performance patterns among older African American women with rheumatic conditions. Participant perceptions of their independence were typically underestimated for functional mobility and physical IADL.


Disclosure:

H. L. Breland,
None;

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

« Back to 2012 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/independence-at-home-real-or-perceived/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology