| Abstract: | Objective: To assess the relationship between behavioral self-regulation and functional status among older rehabilitation inpatients. Study Design: Prospective outcome study. Setting: Fourteen inpatient rehabilitation units and skilled nursing facilities. Participants: Two hundred twelve older adults following hip fracture or replacement. Measures: Mini Mental State Exam (MMSE), Geriatric Depression Scale, Behavioral Dyscontrol Scale (BDS), and nurse-rated functioning on activities of daily living (ADLs) and the Barthel Index. Results: Risk-adjusted analyses found the BDS to be strongly associated with all 11 ADLs and the Barthel Index. The MMSE made an additional contribution to 4 models. Conclusion: The results suggest that the ability to use intentions to guide purposeful behavior is an important contributor to functioning among older adults, affecting rehabilitation potential. (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
