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OBJECTIVES This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another person (personal assistance). METHODS In a cross-sectional study of 2368 community dwellers older than 65 years with 1 or more limitations in basic activities of daily living (ADLs) from the(More)
With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current understanding of the dynamic nature of chronic illnesses, their effects on health over time, and the(More)
OBJECTIVES To establish the frequency of executive dysfunction during acute hospitalization for stroke and to examine the relationship of that dysfunction to stroke severity and premorbid characteristics. DESIGN Inception cohort study. SETTING Inpatient wards at a Veterans Affairs hospital. PARTICIPANTS Consecutive sample of inpatients with(More)
INTRODUCTION Stroke is a leading cause of disability in the United States (National Stroke Association, 1994). The Veterans Health Administration (VHA) of the Department of Veterans Affairs (VA) estimates that 15,000 veterans are hospitalized for stroke each year (VA HSR&D, 1997). Forty percent of stroke patients are left with moderate functional(More)
OBJECTIVES To determine whether cognitive impairment affects access to, or quality of, rehabilitation services, and to examine the effects of functional outcomes in stroke patients. DESIGN Secondary analysis of prospective cohort of stroke patients followed for 6 months after stroke. SETTINGS Eleven large-volume US Department of Veterans Affairs(More)
OBJECTIVE To study differing home hand exercise interventions to determine effects on grip strength, and secondarily any immediate or short term effects on range of motion, pain, deformities, hand disease activity, and dexterity. METHODS Randomized controlled trial of 12 weeks of home hand exercise performed for 10-20 min twice daily. Study exercise(More)
OBJECTIVE To determine the association between opioid use and lower extremity fracture risk in men with spinal cord injury (SCI). DESIGN Retrospective cohort study. SETTING Veterans Affairs Healthcare System. PARTICIPANTS In total, 7447 male Veterans with a history of a traumatic SCI identified from the Veterans Affairs (VA) Spinal Cord Dysfunction(More)
OBJECTIVES We examined the effects of community socioeconomic conditions, air pollution, and the physical environment on elderly health and survival in China. METHODS We analyzed data from a nationally representative sample of 15 973 elderly residents of 866 counties and cities with multilevel logistic regression models in which individuals were nested(More)
OBJECTIVES To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. DESIGN Randomized, clinical trial. SETTING One Department of Veterans Affairs and one private rehabilitation hospital. PARTICIPANTS Sixty-five(More)
OBJECTIVE To measure skeletal fractures in a cohort of veterans with spinal cord dysfunction (SCD) due to multiple sclerosis (MS) or trauma-related spinal cord injury (SCI). DESIGN Retrospective cohort analysis. SETTING Database search. PARTICIPANTS Study subjects were a subset of the 1996 Veterans Health Administration (VHA) National Spinal Cord(More)