Lifespace metrics of older adults with mild cognitive impairment and dementia recorded via geolocation data
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Ireland, David
Krysinska, Karolina
Harrison, Fleur
Lamont, Robyn
Karunanithi, Mohan
Kang, Kristan
Reppermund, Simone
Sachdev, Perminder S
Gustafsson, Louise
Brauer, Sandra
Pachana, Nancy A
Brodaty, Henry
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Abstract
OBJECTIVE: Lifespace, the physical area in which someone conducts life activities, indicates lived community mobility. This study explored the feasibility of technology-based lifespace measurement for older people with dementia and mild cognitive impairment (MCI), including the generation of a range of lifespace metrics, and investigation of relationships with health and mobility status. METHODS: An exploratory study was conducted within a longitudinal observational study. Eighteen older adults (mean age 86.7 years (SD: 3.2); 8 men; 15 MCI), participated. Lifespace metrics were generated from geolocation data (GPS and Bluetooth beacon) collected through a smartphone application for one week (2015-2016). Cognitive and mobility-related outcomes were compared from study data sets at baseline (2005-2007) and 6-year follow-up (2011-2014). RESULTS: Lifespace data could be collected from all participants, and metrics were generated including percentage of time at home, maximum distance from home, episodes of travel in a week, days in a week participants left home, lifespace area (daily, weekly and total), indoor lifespace (regions in the home/hour), and a developed lifespace score that combined time, frequency of travel, distance and area. Results indicated a large range of lifespace areas (0.1 - 97.88 km2 ; median 6.77 km2 ) with similar patterns across lifespace metrics. Significant relationships were found between lifespace metrics and concurrent driving status and anteceding scores on the sit-to-stand test (at baseline and follow-up). CONCLUSIONS: Further longitudinal exploration of lifespace is required to develop an understanding of the nature of lifespace of older community-dwelling people, and its relationship with health, mobility and well-being outcomes.
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Australasian Journal on Ageing
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This publication has been entered in Griffith Research Online as an advanced online version.
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Subject
Geriatrics and gerontology
Clinical sciences
Psychiatry (incl. psychotherapy)
Smartphone
community
gerontology
mobility restriction
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Citation
Liddle, J; Ireland, D; Krysinska, K; Harrison, F; Lamont, R; Karunanithi, M; Kang, K; Reppermund, S; Sachdev, PS; Gustafsson, L; Brauer, S; Pachana, NA; Brodaty, H, Lifespace metrics of older adults with mild cognitive impairment and dementia recorded via geolocation data, Australasian Journal on Ageing, 2021