Navjot Gill is a second-year Master’s Candidate at Western University in the Department of Health and Rehabilitation Sciences in the field of Physical Therapy. She has a clinical degree in physical therapy and is currently in the process of registering to practice. Her research interests are ageing with a focus on health-seeking behaviour, home care, and utilization of community support services in community-dwelling older adults. She aims to pursue a Ph.D. to further develop her skills and expand her horizons as a researcher.
Health-seeking behaviour related to selected dimensions of wellness in community-dwelling older adults
Denise Connelly is an Associate Professor in the School of Physical Therapy, Faculty of Health Sciences at Western University. The primary goals of her research using qualitative and/or quantitative methods are to understand the role and effects of exercise or physical activity participation in the lives and self-care activities of older adults living with a chronic health condition. The implications of her research are to promote uptake and adherence to participation in physical activity or exercise for health and wellbeing. Dr. Connelly has supervised 13 graduate students to completion and published over 35 peer-reviewed papers.
Navjot Gill and Denise M. Connelly, University of Western Ontario, London, ON
Background: Older people generally prefer to ‘stay-put’ in their own home. According to the 2016 census, 93% of Canadian adults over the age of 65 and 70% of those older than 85 years are living in their own homes (Statistics Canada, 2016). This preference is referred to in the literature as ‘ageing-in-place’ which is defined as “the ability to live in one’s own home and community safely, independently and comfortably regardless of age, income, or ability level” (The U.S Centers for Disease Control and Prevention, 2009, p.1).
Informed by the Seven Dimensions of Wellness, a component of the International Council on Active Ageing (ICAA) Model, measures of physical function (i.e. physical), fall risk (i.e. environmental), and psychosocial factors (i.e. emotional, spiritual and social) related to health have been selected with the assumption that they intersect to influence health-seeking behaviour of older adults ageing-at-home. The findings are anticipated to increase our understanding of the relationship(s) among health-seeking behaviour, physical function, fall risk, resilience, social and spiritual well-being, and awareness of available services in a group of community-living older adults aiming to age at home.
The objective of the study is to investigate the relationship among dimensions of well-being, including physical function, fall risk, psychosocial factors and awareness of community-support services, with health-seeking behaviour in community-dwelling older adults.
Null Hypothesis: The scores obtained on health dimension outcomes will not predict health-seeking behaviour in community-dwelling older adults
Alternate Hypothesis: The scores obtained on health dimension outcomes will predict health-seeking behaviour in community-dwelling older adults.
Proposed Methods: A sample size of 98 subjects will be recruited who meet the inclusion criteria and agree to participate. Subjects will be older adults living independently at home in the city of London, ON, aged ≥ 65 years, ambulatory (with/without gait aid) and without executive function impairment. The executive function will be measured with the clock drawing test (CDT) and the scoring will be done according to the criteria provided by Sunderland et al. (1989). The data will be analyzed using multiple linear regression.
The present study aims to explore if awareness of certain factors related to ageing at home successfully may predict the health-seeking behaviour of older adults along with expanding the literature about health-seeking behaviour of community-living older people. The resulting information may assist and/or guide the efforts to better help older adults age-in-place and access community support services.