Artikel
What importance does outpatient care have for mobility in rural areas? Results from a GPS study among persons aged 75 and older
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Autoren
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Christine Haeger
- Charité – Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Berlin, Deutschland
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Sandra Mümken
- Charité – Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Berlin, Deutschland
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Robert P. Spang
- Technische Universität Berlin, Quality and Usability Lab, Berlin, Deutschland
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Max Brauer
- Charité – Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Berlin, Deutschland
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Jan-Niklas Voigt-Antons
- Hochschule Hamm-Lippstadt, Hamm, Deutschland
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Paul Gellert
- Charité – Universitätsmedizin Berlin, Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Berlin, Deutschland
| Veröffentlicht: | 10. September 2024 |
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Gliederung
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Background: The ability to move outside one's own home, whether actively or passively, is considered an important resource for autonomy, quality of life, and personal development in old age. This ability is influenced by a variety of factors, the relationship of which has mainly been investigated in urban areas.
Objective: The aim of this study is to examine the factors associated with out-of-home mobility in a rural population aged 75 years and older. What significance does outpatient care have in this context?
Method: The analyses are based on the baseline data of the MOBILE study, in which 212 individuals aged 75 years and older participated. Out-of-home mobility was measured over a period of seven consecutive days using GPS-based measurements, both temporally (as „time out-of-home,“ TOH) and spatially (as „convex hull,“ CHull). Mixed models considered personal, social, and environmental factors in addition to outpatient care characteristics and covariates such as age and gender.
Results: Participants in the MOBILE study (mean age 81.5 years, standard deviation: 4.1 years, 56.1% female) exhibited an average daily out-of-home mobility of 319.3 minutes (TOH: SD = 196.3) and an average spatial mobility of 41.3 (CHull: SD = 132.8). Significant associations were found for age (TOH: ß = -0.039, p < 0.001), social network (TOH: ß = 0.123, p < 0.001), cohabitation (CHull: ß = 0.689, p = 0.035), health literacy (CHull: ß = 0.077, p = 0.008), sidewalk quality (ß = 0.366, p = 0.003), green space proportion (TOH: ß = 0.005, p = 0.047), ambulatory care utilization (TOH: ß = -0.637, p < 0.001, CHull: ß = 1.532, p = 0.025), and active driving (TOH: ß = -0.361, p = 0.004).
Implications for research and/or (healthcare) practice: The known multifactorial associations with objectively measured out-of-home mobility were confirmed in rural areas. Particularly relevant is the newly discovered significant relationship between out-of-home mobility and outpatient care utilization, both for research and practice.
Funding: Individual funding (BMG, DRV, BMBF, DFG, etc); Project name: MOBILE; Grant number: 01GY1803
