alexa Correlation of the Index of Activities of Daily Living (Index of ADOH) with the Functional Independence Measure (FIM) in Older Adults
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
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Research Article

Correlation of the Index of Activities of Daily Living (Index of ADOH) with the Functional Independence Measure (FIM) in Older Adults

Sue S Spackman* and Bauer JG
Loma Linda University, School of Dentistry, Loma Linda, California, USA
*Corresponding Author : Sue S Spackman
Loma Linda University
School of Dentistry
Loma Linda, California, USA
Tel: 909558400048977
E-mail: [email protected]
Received: February 29, 2016 Accepted: March 04, 2016 Published: March 07, 2016
Citation: Spackman SS, Bauer JG (2016) Correlation of the Index of Activities of Daily Living (Index of ADOH) with the Functional Independence Measure (FIM) in Older Adults. J Gerontol Geriatr Res 5:284. doi:10.4172/2167-7182.1000284
Copyright: © 2016 Spackman SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Index of Activities of Daily Oral Hygiene is correlated with Barthel Index, showing high discriminant capacity for dependency in manipulating oral self-care aids. Due to the reciprocation of disease, there is a need to correlate the Index of Daily Oral Hygiene with the Functional Independence Measure, a measure that integrates dentistry with other medical indices and the purpose of this study. Methods: For this cross-sectional study, a convenience sample of 73 nursing home residents, informed consents using the inclusion criterion of 65 years of age (VAWLA IRC, HS VA, PCC2001-121877) were obtained, and subjects were categorized into dentate and non-dentate groups. Attrition and post-hoc power calculations were reported. One accessor completed all assessments for the primary two assessment instruments, along with chart review for additional medical indices, and completion of resident oral self-care behavior questionnaire. Pearson r correlations (dentate group), confidence intervals using Fisher’s Norma transformation (p=0.05) and Spearman correlation (nondentate), rs correlation statistic with confidence interval, and t-statistic (p.05) were reported. Results: Significant correlations for dentate subject ADOH dependency was associated with FIM when decrements or dependencies were found in upper body functions: r = -0.35, CI -0.63 to 0.00 (p=0.05) to r = -0.049, CI -0.73 to -0.13 (p=0.01). For non-dentate subjects, ADOH dependency had a strong inverse relationship with ADL dependency: rs = -0.75, CI -0.93 to -0.73 (p=0.008) to rs = -0.093, CI -0.98 to -0.73 (p=0.0001). In non-dentate subjects, ADL was not associated with upper body strength and tasks involved in oral self-care behaviors for denture maintenance Conclusions: In dentate individuals, ADOH dependency is associated with functional decrements and significantly correlated with FIM dependency. In non-dentate individuals, ADOH dependency was not associated with FIM/ADL dependency. Thus, denture wearers can be dependent in FIM/ADL upper body function yet independent in maintaining denture, oral self-care behaviors.

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