Operationalizing the Disablement Process for Research on Older Adults: A Critical Review

Can J Aging. 2020 Dec;39(4):600-613. doi: 10.1017/S0714980819000758. Epub 2020 Jan 31.

Abstract

Self-care disability is difficulty with or dependence on others to perform activities of daily living, such as eating and dressing. Disablement is worsening self-care disability measured over time. The disablement process model (DPM) is often used to conceptualize gerontology research on self-care disability and disablement; however, no summary of variables that align with person-level DPM constructs exists. This review summarizes the results of 88 studies to identify the nature and role of variables associated with disability and disablement in older adults according to the person-level constructs (e.g., demographic characteristics, chronic pathologies) in the DPM. It also examines the evidence for cross-sectional applications of the DPM and identifies common limitations in extant literature to address in future research. Researchers can apply these results to guide theory-driven disability and disablement research using routinely collected health data from older adults.

Keywords: activities of daily living; activités de la vie quotidienne; ageing; centre d’hébergement et de soins communautaires; chronic disease; community/nursing home; functional limitations; incapacité à prendre soin de soi; limitations fonctionnelles; maladie chronique; self-care disability; vieillissement.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Chronic Disease
  • Disability Evaluation
  • Disabled Persons*
  • Female
  • Humans
  • Male
  • Physical Functional Performance
  • Self Care*