Frailty and Life-Space Mobility: Implications for Clinical Practice and Research

Patricia Hewstona GERAS Centre for Aging Research, Hamilton Health Sciences, Hamilton, ON, Canada;b Department of Medicine, McMaster University, Hamilton, ON, CanadaCorrespondence[email protected]

https://orcid.org/0000-0003-3787-7941

Amanda Grenierc Faculty of Social Work, University of Toronto, Toronto, ON, Canada

https://orcid.org/0000-0003-2251-6035

Equity Burked Gilbrea Centre for Studies in Aging, McMaster University, Hamilton, ON, Canada

Courtney C. Kennedya GERAS Centre for Aging Research, Hamilton Health Sciences, Hamilton, ON, Canada;b Department of Medicine, McMaster University, Hamilton, ON, Canada

Alexandra Papaioannoua GERAS Centre for Aging Research, Hamilton Health Sciences, Hamilton, ON, Canada;b Department of Medicine, McMaster University, Hamilton, ON, Canada;e Department of Health Research and Methods, McMaster University, Hamilton, ON, Canada

https://orcid.org/0000-0001-9412-0932

Abstract

Frailty is an important medical syndrome that can be prevented or treated with specific interventions. However, there is limited research evidence on multifactorial perspectives of frailty management and its impact on daily function including mobility declines and changes in life-space mobility. Using the person-environment-occupation (PEO) model we aim to describe the relationship between frailty and life-space mobility in older adults. This manuscript provides a new framework for clinical practice and research implications of frailty and life-space mobility in older adults including: (1) overview of key concepts, (2) application of the PEO model to describe how frailty (personal) and life-space (environmental) can influence occupational performance, and (3) clinical practice implications to improve frailty-related immobility. This new framework provides a starting point to extend the focus of frailty beyond the individual to encompass the environmental context within which people live and move.

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Acknowledgements

Thank you to our generous funders: Labarge Post-Doctoral Fellowship for Mobility in Aging (McMaster University Institute for Aging, 2019–2020) and Catalyst Grant (McMaster University Institute for Aging, 2018).

Declaration of interest

There are no conflicts of interest to report.

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Frailty and Life-Space Mobility: Implications for Clinical Practice and Research

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