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Journal of Aging and Health
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Perceived Autonomy and Activity Choices Among Physically Disabled Older People in Nursing Home Settings: A Randomized Trial

Mette Andresen, OTR, MSc, & PhD

University of Southern Denmark, Faculty of Health Sciences, Institute of Exercise and Biomechanics, Denmark

Ulla Runge, OTR & MPH

Freelance, Denmark

Morten Hoff, Cand.phil & PhD

University College Lillebælt, Denmark

Lis Puggaard, Cand.scient & PhD

COWl A/S, Denmark

Objectives: To evaluate the effect of individually tailored programs on perceived autonomy in institutionalized physically disabled older people and to describe participants’ activity wishes and content of the programs. Method: This blinded randomized trial with follow up included a total of nine nursing homes and 50 nursing home residents who were randomized into either a control group or an intervention group. Perceived autonomy was measured at baseline (T1), after 12 weeks (T2) of intervention and after 24 weeks (T3) Wishes for daily activities was identified at T1. Weekly reports of individual programs were drawn up. Results: Both groups perceived autonomy as average at baseline and increased their mean score at T2 to high or close to high. At T3, both groups scored average but exceeded the level of T1. Activity wishes and the content of the programs indicate incoherence. Discussion: Although the correspondence between the individual wishes for activities and the concrete content of the programs was not obvious, results indicate potential for enabling the perception of autonomy among physically disabled older nursing home residents. The clinical consequences may suggest a focus on existing traditions, methods, and tools in the nursing home practice.

Key Words: disabled older people • nursing home • perceived autonomy • activity wishes • randomized trial

Journal of Aging and Health, Vol. 21, No. 8, 1133-1158 (2009)
DOI: 10.1177/0898264309348197
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