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Independence and Dependence for Older Adults with Osteoarthritis or Osteoporosis*

Published online by Cambridge University Press:  29 November 2010

Cheryl A. Cott  and
Monique A.M. Gignac
Cheryl A. Cott
Affiliation:
University of Toronto
Monique A.M. Gignac
Affiliation:
The Toronto Hospital
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Abstract

This study uses qualitative methods to explore subjective perceptions of independence and dependence for older adults with chronic musculoskeletal conditions. Twenty-seven in-depth interviews were conducted with community-dwelling older adults with osteoarthritis and/or osteoporosis in the greater Metropolitan Toronto area. Respondents shared similar overall perceptions of independence and dependence, but self-definitions as independent were related to domains of difficulty, coping skills used, assistive devices, and nature of the helping relationship. Three categories of respondents based on domains of difficulty (Community Mobility, Household Activities, and Personal Care) are used to illustrate how respondents negotiate their self-identities as independent in light of the other three factors.

Résumé

Au moyen de méthodes qualitatives, cette étude explore la perception de l'indépendance et de la dépendance qu'ont les aîné(e)s atteints de déficience chronique musculosquelettique. On a effectué 27 entrevues en profondeur auprès d'aînés souffrant d'arthrite et/ou d'ostéoporose et vivant dans la communauté métropolitaine de Toronto. Les personnes interviewées partageaient dans l'ensemble une perception semblable de l'indépendance et de la dépendance mais leur vision d'eux-mêmes relativement à l'indépendance été liée au type de difficulté éprouvé aux capacités d'adaptation, aux appareils et accessoires fonctionnels et à la nature des relations d'aide. Nous avons divisé les personnes interrogées en trois catégories selon le type de difficulté éprouvé (mobilité au sein de la communauté, activités domestiques, soins personnels) pour illustrer la façon dont elles définissent leur indépendance en regard des trois autres facteurs.

Keywords

IndependenceDependenceDisabilityOsteoarthritisOsteoporosis.Indépendencedépendenceincapacité arthroseostéoporose.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 18 , Issue 1 , printemps/Spring 1999 , pp. 1 - 25
Copyright
Copyright © Canadian Association on Gerontology 1999

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References

Anderson, M. (1971). Family structure in nineteenth century Lancashire. Cambridge: Cambridge University Press.Google Scholar
Asche, G., Coyte, P.C., & Chan, B. (1996). The economic costs of musculoskeletal disorders for Canadian seniors (abstract). American Public Health Association 124th Annual Meeting and Exposition.Google Scholar
Badley, E.M., Rasooly, I., & Webster, G.K. (1994). Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability and health care utilization: Findings from the 1990 Ontario Health Survey. Journal of Rheumatology, 21, 505–514.Google Scholar
Badley, E.M., Rothman, L.M., & Wang, P.P. (1998). Modeling physical dependence in arthritis: The relative contribution of specific disabilities and environmental factors. Arthritis Care and Research, 11, 335–346.Google Scholar
Baltes, M.M. (1995). The many faces of dependency in old age. Cambridge: Cambridge University Press.Google Scholar
Barnes, C., & Oliver, M. (1995) Disability politics: Understanding our past, changing our future. London: Routledge.Google Scholar
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Bond, J. (1976). Dependency and the elderly: problems of conceptualization and measurement. In Munnichs, I., & van den heuvel, W. (Eds.), Dependency or interdependency in old age. (pp. 11–23). Hague: Martinus Nijhoff.Google Scholar
Braden, C.J. (1991) Learned response to chronic illness: disability payment recipients vs nonrecipients. Rehabilitation Psychology, 36(4), 265–277.Google Scholar
Brody, E.M. (1981). Women in the middle and family help to older people. The Gerontologist, 21, 470–480.Google Scholar
Brody, E.M., Johnsen, P.T., & Fulcomer, M.C. (1984). What should adult children do for elderly parents? Opinions and preferences of three generations of women. Journal of Gerontology, 39, 736–746.Google Scholar
Bury, M.R. (1988). Chronic illness as biographical disruption. Sociology of Health and Illness, 4, 167–182.Google Scholar
Bury, M.R. (1991). The sociology of chronic illness: A review of research and prospects. Sociology of Health and Illness, 13, 452–468.Google Scholar
Cantor, M.H. (1979). Neighbors and friends: An overlooked resource in the informal support system. Research on Aging, 1, 434–463.Google Scholar
Carricaburu, D., & Pierret, J. (1995) From biographical disruption to biographical reinforcement: the case of HIV-positive men. Sociology of Health and Illness, 17(1), 65–88.Google Scholar
Charmaz, K. (1983). Loss of self: a fundamental form of suffering in the chronically ill. Sociology of Health and Illness, 5(2), 168–195.Google Scholar
Charmaz, K. (1995). The body, identity and self: adapting to impairment. The Sociological Quarterly, 36(4), 657–680.Google Scholar
Corbin, J.M., & Strauss, A. (1988). Unending work and care: Managing chronic illness at home. San Francisco: Jossey-Bass Publishers.Google Scholar
Fife, B.L. (1994). The conceptualization of meaning in illness. Social Science and Medicine, 38(2), 309–316.Google Scholar
French, S. (1993). What's so great about independence? In Swain, J., Finkelstein, V., French, S., & Oliver, M. (Eds.), Disabling barriers-enabling environments (pp. 44–48). London: Sage PublicationsGoogle Scholar
Fries, J.J., Spitz, P., Kraines, R.G., & Holman, H.R. (1980). Measurement of patient outcomes in arthritis. Arthritis and Rheumatology, 23, 137–145.Google Scholar
Gignac, M.A.M., & Cott, C. (1998). A conceptual model of independence and dependence for adults with chronic physical illness and disability. Social Science and Medicine, 47, 739–753.Google Scholar
Goffman, E. (1963). Stigma. Englewood Cliffs, NJ.: Prentice-Hall.Google Scholar
Hahn, H. (1994). The minority group model of disability: Implications for medical sociology. Research in the Sociology of Health Care, 11, 3–24.Google Scholar
Kaufman, S.R. (1986). The ageless self: Sources of meaning in later life. Madison: University of Wisconsin Press.Google Scholar
Kaufman, S.R. (1993). Reflections on “The Ageless Self”. Generations, Spring /Summer, 13–16.Google Scholar
Kaufman, S.R. (1994). The social construction of frailty: An anthropological perspective. Journal of Aging Studies, 8, 45–58.Google Scholar
Keating, N., Fast, J., Oakes, L., & Harlton, S. (1996). Defining eldercare: Concepts and boundaries. Final report to NHRDP.Google Scholar
Lazarus, R.S., & Folkman, S. (1984). Stress appraisal and coping. New York: Springer.Google Scholar
Marshall, V.W., McMullin, J.A., Ballantyne, P., Daciuk, J., & Wigdor, B.T. (1995) Contributions to independence over the adult life course. Toronto: Centre for Studies of Aging, University of Toronto.Google Scholar
Martin Matthews, A., & Shipsides, A. (1989). Contributors to the loss of independence and the promotion of independence among seniors: Literature review and consultation with key informants. Report for the Seniors Independence Research Program: Community Health Division, Health and Welfare Canada. Guelph: Gerontology Research Centre, University of Guelph.Google Scholar
Miles, M.B., & Huberman, A.M. (1995) Qualitative data analysis (2nd ed.). London: Sage.Google Scholar
Oleson, V. (1990). Problematic bodies: Past, present and future. Symbolic Interaction, 17, 231–237.Google Scholar
Patton, M.Q. (1990) Qualitative evaluation and research methods (2nd ed.). New-bury Park, CA: Sage.Google Scholar
Pfeiffer, D. (1994). The Americans with Disabilities Act: costly mandates or civil rights? Disability and Society, 9, 533–542.Google Scholar
Pinder, R. (1990). What to expect: information and the management of uncertainty in Parkinson's disease. Disability Handicap & Society, 5(1), 77–92.Google Scholar
Pippin, K. (1996). A phenomenological analysis of the concept of normalization for the elderly and its value for understanding the design, commercialization and use of assisiivé mobility devices. Master of Science in Behavioural Science Thesis, University of Toronto.Google Scholar
Robinson, C.A. (1993). Managing life with a chronic condition: the story of normalization. Qualitative Health Research, 3(1), 6–28.Google Scholar
Rush, K.L., & Ouellet, L.L. (1997). Mobility aids and the elderly client. Journal of Gerontological Nursing, January, 7–15.Google Scholar
Stewart, D.C., & Sullivan, R.J. (1982). Illness behavior and the sick role in chronic disease: The case of multiple sclerosis. Social Science and Medicine, 16, 1397–1404.Google Scholar
Stone, D.A. (1984). The disabled state. Philadelphia: Temple University Press.Google Scholar
Verbrugge, L.M. (1990). The iceberg of disability. In Stahl, S.M. (Ed.), Longevity: health and health care in later life (pp. 55–75). Newbury Park, CA.: Sage.Google Scholar
Verbrugge, L.M., & Jette, A.M. (1994) The disablement process. Social Science and Medicine, 38(1), 1–14.Google Scholar
Verbrugge, L.M., Rennert, C., & Madans, J.H. (1997). The great efficacy of personal and equipment assistance in reducing disability. American Journal of Public Health, 87(3), 384–392.Google Scholar
Wiener, C.L., & Dodd, M.J. (1993). Coping amid uncertainty; an illness trajectory perspective. Scholarly Inquiry for Nursing Practice: An International Journal, 7(1), 17–31.Google Scholar
Wigdor, B.T., & Plouffe, L. (1992). Seniors independence: Whose responsibility? Ottawa: National Advisory Council on Aging, Forum Collection.Google Scholar
Wilkin, D. (1987). Conceptual problems in dependency research. Social Science and Medicine, 24, 867–873.Google Scholar
Williams, G.H. (1991). Disablement and the ideological crisis in health care. Social Science and Medicine, 31, 517–524.Google Scholar
Yoshida, K.K. (1997). Uncertainty in the lives of people with Spinal Cord Injury and Rheumatoid Arthritis. Canadian Journal of Rehabilitation, 10(1), 5–14.Google Scholar