eISSN: 2299-0038
ISSN: 1643-8876
Menopause Review/Przegląd Menopauzalny
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2/2022
vol. 21
 
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abstract:
Original paper

Factor affecting the activities of daily living among aging people during the COVID-19 pandemic – a structural equation modelling

Elham Nejadsadeghi
1
,
Shahab Papi
2
,
Maria Cheraghi
3
,
Samaneh Norouzi
4
,
Fatemeh Hosseini
5
,
Ghodratollah Shakeri Nejad
6

1.
School of Public Health, Behbahan Faculty of Medical Sciences, Behbahan, Iran
2.
Department of Public Health, Faculty of Health, Social Determinant of Health Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3.
Social Determinant of Health Research Centre, Department of Public Health, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4.
Health Education and Health Promotion, Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
5.
Department of Epidemiology and Biostatics, School of Public Health, Tehran university of Medical Sciences, Tehran, Iran
6.
ACECR-Khuzestan, Health Education Research Department, Ahvaz, Iran
Menopause Rev 2022; 21(2): 111-116
Online publish date: 2022/06/20
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Introduction
The activities of daily living (ADLs) are a set of basic skills necessary for self-care. The inability of elderly people to perform ADLs leads to dependence, insecure conditions, and poor quality of life. The COVID-19 pandemic has affected all aspects of the daily life of the elderly. This study aimed to determine the factors associated with ADLs among elderly people during the COVID-19 pandemic using structural equation modelling/path analysis.

Material and methods
It was a descriptive-analytical study which had conducted on 487 elderly people who were selected randomly to participate in the study. Data collection tools included a demographic information questionnaire, an activities of daily living questionnaire, a knee pain and personal performance questionnaire Western Ontario and McMaster Universities Osteoarthritis (WOMAC), and the falls efficacy scale, which were completed by interview and self-report methods. SPSS-22 and AMOS software were used for data analysis.

Results
Two structures of the fear of falling (FOF) and knee pain and personal performance questionnaire WOMAC had a significant role in explaining the ADL variance among the studied elderly people (p < 0.001, root mean square error of approximation = 0.063). These variables explained 64% of the ADL variance.

Conclusions
The structures of this model (FOF and WOMAC) can be used as a reference framework to design effective interventions for improving ADLs among elderly people during the COVID-19 epidemic. It is also recommended that a multi-component program be provided, which includes exercise and psychological strategies for this population during the COVID-19 pandemic through online videos, distance health programs, etc.

keywords:

elderly, activities of daily living (ADLs), risk factors, fear of falling (FOF), COVID-19

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