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OBJECTIVE To explore the experience of adherence to pain medication in older adults with osteoarthritis (OA). METHODS Individuals were recruited from an existing cohort (n = 1,300) of persons with disabling hip and knee OA. Twenty-seven individuals who reported previous physician visits for their arthritis, spoke English, were Toronto residents, and were(More)
OBJECTIVE To examine the validity of both self-report of having had dual-energy x-ray absorptiometry (DXA) and self-reported DXA test results. METHODS Participants were recruited in 2003 and 2004 from a population-based study of women aged 65-90 years examining osteoporosis management in Ontario, Canada (N=871). Women reporting having had a DXA were(More)
OBJECTIVE Total hip (THR) and knee (TKR) replacements increasingly are performed on younger people making return to work a salient outcome. This research evaluates characteristics of individuals with early and later return to work following THR and TKR. Additionally, at work limitations pre-surgery and upon returning to work, and factors associated with(More)
This study extends research on living with chronic physical illness and disability by examining how adaptation processes are associated with different activity domains and how the combination of adaptations and activity domains relate to older adults' perceptions of their independence and dependence, helplessness, emotional reactivity, and coping efficacy.(More)
BACKGROUND There is evidence that utility elicitation methods used in the calculation of quality-adjusted life years (QALYs) yield different results. It is not clear how these differences impact economic evaluations. METHODS Using a mathematical model incorporating data on efficacy, costs, and utility values, we simulated the experiences of 100,000(More)
OBJECTIVE To identify the factors associated with self rated health of people with and without chronic health conditions or long term disability. SETTING Canadian household population. DESIGN Analysis of 1994/95 National Population Health Survey interview data with 13,995 respondents aged 20 years and older. Determinants of poor and good compared with(More)
OBJECTIVE To assess the importance of different social roles in the lives of people with osteoarthritis (OA), and satisfaction with time spent in roles and role performance, as well as the relationship of demographic, health, and psychological factors to role perceptions. METHODS Sixty women and 27 men (age 42-86 yrs) with hip or knee OA were recruited(More)
This paper presents a conceptual model of physical independence and dependence as it relates to adult onset, chronic physical illness and disability. Physical independence and dependence are presented as two separate, continuous, and multiply determined constructs, and illustrations are provided of situations where people can be independent, dependent, not(More)
OBJECTIVE Discuss family caregivers of stroke survivors' changing needs for education and support across the care continuum. METHODS Conceptual review. RESULTS Stroke is a serious, sudden onset illness requiring care across the care continuum. The focus of care, the individuals primarily responsible for providing that care, and patients' self-care(More)
OBJECTIVE To evaluate subjective sleep quality and its relationship to fatigue in older adults with osteoarthritis (OA). METHOD In a community cohort with hip/knee OA, subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and fatigue was measured by the Profile of Mood States - Fatigue subscale (POMS-F). Correlates of sleep(More)