<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Amtmann, Dagmar</style></author><author><style face="normal" font="default" size="100%">Bamer, Alyssa M</style></author><author><style face="normal" font="default" size="100%">Kim, Jiseon</style></author><author><style face="normal" font="default" size="100%">Chung, Hyewon</style></author><author><style face="normal" font="default" size="100%">Salem, Rana</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">People with multiple sclerosis report significantly worse symptoms and health related quality of life than the US general population as measured by PROMIS and NeuroQoL outcome measures.</style></title><secondary-title><style face="normal" font="default" size="100%">Disabil Health J</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2018 Jan</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">11</style></volume><pages><style face="normal" font="default" size="100%">99-107</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;BACKGROUND: &lt;/b&gt;Individuals with multiple sclerosis (MS) report fatigue, pain, depression, cognitive difficulties, and other symptoms. It is often difficult to compare symptoms across studies and populations because scales used to measure individual symptoms or quality of life indicators (QOLI) use different metrics and often do not provide norms. PROMIS and Neuro-QOL measures, developed with modern psychometric methods, use a common metric and provide population norms.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;OBJECTIVE: &lt;/b&gt;To create symptom profiles and compare symptoms and QOLIs of people living with MS to a US general population sample.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;METHODS: &lt;/b&gt;Data from observational cross-sectional survey studies of 1544 community dwelling individuals with MS were analyzed. T-tests and non-parametric tests were used to examine whether symptoms or QOLIs of people with MS differed from the general US population. Regression analyses were used to adjust differences for age and sex. Measures included PROMIS or NeuroQoL anxiety, depression, fatigue, sleep disturbance and related impairment, pain interference, physical function, satisfaction with social roles, and applied cognition. Symptom levels were also compared by age, gender, and disability level.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;Scores on all health domains were statistically significantly (all p&amp;nbsp;&amp;lt;&amp;nbsp;0.001) worse than the general US population and six domains had scores worse by half standard deviation or more. These differences remained significant after adjusting for age and sex.&lt;/p&gt;
&lt;p&gt;&lt;b&gt;CONCLUSIONS: &lt;/b&gt;Individuals with MS report clinically meaningful worse health compared to the general population across multiple health related domains. Symptom profiles utilizing PROMIS or NeuroQoL measures can be used to quickly assess symptom levels in an individual or group.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Alschuler, Kevin N</style></author><author><style face="normal" font="default" size="100%">Arewasikporn, Anne</style></author><author><style face="normal" font="default" size="100%">Nelson, Ian K</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Ehde, Dawn M</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Promoting resilience in individuals aging with multiple sclerosis: Results from a pilot randomized controlled trial.</style></title><secondary-title><style face="normal" font="default" size="100%">Rehabilitation Psychology</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">07/2018</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">63</style></volume><pages><style face="normal" font="default" size="100%">338-348</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;span style=&quot;color: rgb(51, 51, 51); font-family: sans-serif; background-color: rgb(255, 255, 255);&quot;&gt;Starting in middle adulthood, individuals living with multiple sclerosis (MS) are confronted with the simultaneous challenge of coping with advancing MS alongside age-related changes. Psychological resilience is thought to play an important role in promoting healthy aging and thus may be important in the context of aging with MS. This study aimed to evaluate whether Everyday Matters, a novel positive psychology program, had a positive effect on resilience and other related outcomes in adults with MS relative to a wait-list control group. Research Method/Design: This was a single-center two-group pilot randomized (1:1) controlled trial comparing the Everyday Matters intervention to a waitlist control. Randomized participants were&amp;nbsp;&lt;/span&gt;&lt;em style=&quot;box-sizing: border-box; font-family: sans-serif; color: rgb(51, 51, 51); background-color: rgb(255, 255, 255);&quot;&gt;N&lt;/em&gt;&lt;span style=&quot;color: rgb(51, 51, 51); font-family: sans-serif; background-color: rgb(255, 255, 255);&quot;&gt;&amp;nbsp;= 31 adults with MS aged &amp;ge; 45 years. The 6-week program, developed by the National MS Society, was delivered via group teleconference and supplemented with readings, videos, and online participation. Participants in both groups completed outcome assessments measuring resilience, satisfaction with social roles, mood, pain, fatigue, and sleep at baseline and posttreatment. Results: Analyses on&amp;nbsp;&lt;/span&gt;&lt;em style=&quot;box-sizing: border-box; font-family: sans-serif; color: rgb(51, 51, 51); background-color: rgb(255, 255, 255);&quot;&gt;N&lt;/em&gt;&lt;span style=&quot;color: rgb(51, 51, 51); font-family: sans-serif; background-color: rgb(255, 255, 255);&quot;&gt;&amp;nbsp;= 27 participants who completed study assessments revealed a significant group effect for resilience and satisfaction with social roles, and trend differences for positive affect and well-being and depressive symptom severity. At posttreatment, participants in the intervention group reported the group to be very helpful, found the telephone-based delivery convenient, and felt the benefits of participating outweighed the effort. Conclusions/Implications: These results suggest that the Everyday Matters program shows promise for increasing resilience in adults with MS and that a full-scale randomized controlled trial is warranted.&lt;/span&gt;&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">3</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Amtmann, Dagmar</style></author><author><style face="normal" font="default" size="100%">Askew, Robert L</style></author><author><style face="normal" font="default" size="100%">Kim, Jiseon</style></author><author><style face="normal" font="default" size="100%">Chung, Hyewon</style></author><author><style face="normal" font="default" size="100%">Ehde, Dawn M</style></author><author><style face="normal" font="default" size="100%">Bombardier, Charles H</style></author><author><style face="normal" font="default" size="100%">Kraft, George H</style></author><author><style face="normal" font="default" size="100%">Jones, Salene M</style></author><author><style face="normal" font="default" size="100%">Johnson, Kurt L</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Pain affects depression through anxiety, fatigue, and sleep in multiple sclerosis.</style></title><secondary-title><style face="normal" font="default" size="100%">Rehabil Psychol</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Anxiety Disorders</style></keyword><keyword><style  face="normal" font="default" size="100%">Chronic Pain</style></keyword><keyword><style  face="normal" font="default" size="100%">Cross-Sectional Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Depressive Disorder</style></keyword><keyword><style  face="normal" font="default" size="100%">Fatigue</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Middle Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Multiple Sclerosis</style></keyword><keyword><style  face="normal" font="default" size="100%">Quality of Life</style></keyword><keyword><style  face="normal" font="default" size="100%">Sleep Wake Disorders</style></keyword><keyword><style  face="normal" font="default" size="100%">Surveys and Questionnaires</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2015</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2015 Feb</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">60</style></volume><pages><style face="normal" font="default" size="100%">81-90</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;OBJECTIVE: Over a quarter million individuals in the United States have multiple sclerosis (MS). Chronic pain and depression are disproportionately high in this population. The purpose of this study was to examine the relationship between chronic pain and depression in MS and to examine potentially meditational effects of anxiety, fatigue, and sleep. METHOD: We used cross-sectional data from self-reported instruments measuring multiple symptoms and quality of life indicators in this study. We used structural equation modeling to model direct and indirect effects of pain on depression in a sample of 1,245 community-dwelling individuals with MS. Pain interference, depression, fatigue, and sleep disturbance were modeled as latent variables with 2 to 3 indicators each. The model controlled for age, sex, disability status (Expanded Disability Status Scale), and social support. RESULTS: A model with indirect effects of pain on depression had adequate fit and accounted for nearly 80% of the variance in depression. The effects of chronic pain on depression were almost completely mediated by fatigue, anxiety, and sleep disturbance. Higher pain was associated with greater fatigue, anxiety, and sleep disturbance, which in turn were associated with higher levels of depression. The largest mediating effect was through fatigue. Additional analyses excluded items with common content and suggested that the meditational effects observed were not attributable to content overlap across scales. CONCLUSION: Individuals living with MS who report high levels of chronic pain and depressive symptoms may benefit from treatment approaches that can address sleep, fatigue, and anxiety.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">1</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>13</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Johnson, K.</style></author><author><style face="normal" font="default" size="100%">Matter, B</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Practical Knowledge Translation: Consumers as Experts</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2015</style></year></dates><publisher><style face="normal" font="default" size="100%">Oral Presentation at lehmann's Day, Seattle, Washington</style></publisher><language><style face="normal" font="default" size="100%">eng</style></language></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>47</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Amtmann, Dagmar</style></author><author><style face="normal" font="default" size="100%">Bamer, Alyssa M</style></author><author><style face="normal" font="default" size="100%">Yorkston, Kathryn M</style></author><author><style face="normal" font="default" size="100%">Smith, Amanda E</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Predictors of Self-Efficacy in Individuals Aging with a Disability</style></title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Resilience</style></keyword><keyword><style  face="normal" font="default" size="100%">Satisfaction with Social Role</style></keyword><keyword><style  face="normal" font="default" size="100%">Self-Efficacy</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2014</style></year><pub-dates><date><style  face="normal" font="default" size="100%">10/2014</style></date></pub-dates></dates><pub-location><style face="normal" font="default" size="100%">Oral presentation at the International Society fo Quality of Life's (ISOQOL) 21st Annual Meeting, Berlin, Germany</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;h3&gt;
	AIMS&lt;/h3&gt;
&lt;p&gt;To examine the association of self-efficacy (SE) related to management of chronic disease with demographic and clinical indicators in individuals aging with physical disability. Self-efficacy is a critical mediator of human behavior and an important target for interventions to improve health outcomes. Changes in SE have been reported to be the best predictors of response to rehabilitation treatments. Understanding the role of SE in people&amp;rsquo;s ability to successfully self-manage and live effectively with physical limitations is important for designing treatments that can lead to better quality of life (QOL).&lt;/p&gt;
&lt;h3&gt;
	METHODS&lt;/h3&gt;
&lt;p&gt;The University of Washington Self-Efficacy Scale (UW-SES) that conceptualizes SE as perceived confidence in managing challenges related to living with a physical disability was used to measure SE. PROMIS&amp;copy; short forms (version 1) were used to measure pain interference, physical function, fatigue and social soles satisfaction. In addition to demographics we measured social support (the Multi-dimensional Scale of Perceived Social Support), depression (PHQ9), resilience (the Connor-Davidson Resiliency scale), interference with participation, and falls. A multivariate regression model was used to examine associations between SE and demographics, and symptoms or QOL indicators.&lt;/p&gt;
&lt;h3&gt;
	RESULTS&lt;/h3&gt;
&lt;p&gt;858 older people (aged 45+) with muscular dystrophy (MD: 18%), multiple sclerosis (MS: 32%), spinal cord injury (SCI: 26%), or post-polio syndrome (PPS: 24%) who participated in a study of aging with a disability responded to a mail survey. Of the 2,041 people invited 1,862 completed it (91% return rate). About a half of the participants were asked to respond to UWSES. The final multivariate model explained 68% of the variance in self-efficacy and included the following statistically significant independent variables: satisfaction with social roles, resilience, pain interference, interference with participation, social support, fatigue, and employment. Age, gender, marital status, education, income, physical function, depression, falls, and overall mobility were not found to be statistically significantly related to SE.&lt;/p&gt;
&lt;h3&gt;
	CONCLUSIONS&lt;/h3&gt;
&lt;p&gt;There is a strong link between SE, social variables and other clinical indicators including resilience, and symptoms of fatigue and pain. Interventions aimed at increasing SE in older adults living with physical disability should include strategies for improving social participation, increasing resiliency, and management of fatigue and pain. &amp;nbsp;&lt;/p&gt;
</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Molton, Ivan</style></author><author><style face="normal" font="default" size="100%">Cook, Karon F</style></author><author><style face="normal" font="default" size="100%">Smith, Amanda E</style></author><author><style face="normal" font="default" size="100%">Amtmann, Dagmar</style></author><author><style face="normal" font="default" size="100%">Chen, Wen-Hung</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Prevalence and impact of pain in adults aging with a physical disability: comparison to a US general population sample.</style></title><secondary-title><style face="normal" font="default" size="100%">Clin J Pain</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2014 Apr</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">30</style></volume><pages><style face="normal" font="default" size="100%">307-15</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;OBJECTIVES: To describe rates of pain and pain interference in a large sample of adults aging with long-standing physical disabilities, relative to a normative US population sample. METHODS: Self-report survey data was collected for a sample of 1877 individuals with spinal cord injury, neuromuscular disease, postpolio syndrome, or multiple sclerosis. Rates of pain severity and pain interference in these samples were then compared with those taken from a large normative sample (&amp;gt;20,000) collected through the NIH Patient Reported Outcomes Measurement Information System (PROMIS). RESULTS: Individuals with long-standing physical disabilities reported higher levels of pain and pain interference across the lifespan as compared with individuals in the normative sample. In general, individuals with disability did not experience an age-related decrease in pain and pain impact in contrast to those in the normative sample. For 3 disability groups (neuromuscular disease, postpolio syndrome, and multiple sclerosis), pain interference remained elevated and significantly higher than national norms in the &amp;quot;postretirement&amp;quot; period (ie, age 65 to 74). DISCUSSION: Results from this study provide a large scale data on prevalence rates of pain and pain interference in this population. Findings underscore the prevalence and impact of pain in persons with disabilities and suggest that individuals with disability may not experience the same degree of decrease in pain interference in later life that is typical of the US population. Those aging with disability may be especially at risk for pain-related impairment in later life.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">4</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>10</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Psychological factors associated with spinal disease in the elderly</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2014</style></year></dates><pub-location><style face="normal" font="default" size="100%">Presentation at the North American Spine Society's Annual Meeting, San Franciso, CA</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Kroll, Thilo</style></author><author><style face="normal" font="default" size="100%">Kratz, Anna</style></author><author><style face="normal" font="default" size="100%">Kehn, Matthew</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author><author><style face="normal" font="default" size="100%">Groah, Suzanne L</style></author><author><style face="normal" font="default" size="100%">Ljungberg, Inger H</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Bombardier, Charles H</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Perceived exercise self-efficacy as a predictor of exercise behavior in individuals aging with spinal cord injury.</style></title><secondary-title><style face="normal" font="default" size="100%">American Journal of Physical Medicine &amp; Rehabilitation</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Am J Phys Med Rehabil</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Adolescent</style></keyword><keyword><style  face="normal" font="default" size="100%">Adult</style></keyword><keyword><style  face="normal" font="default" size="100%">Age Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged, 80 and over</style></keyword><keyword><style  face="normal" font="default" size="100%">Aging</style></keyword><keyword><style  face="normal" font="default" size="100%">Cross-Sectional Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Exercise</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Health Behavior</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Linear Models</style></keyword><keyword><style  face="normal" font="default" size="100%">Longitudinal Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Middle Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Physical Exertion</style></keyword><keyword><style  face="normal" font="default" size="100%">Questionnaires</style></keyword><keyword><style  face="normal" font="default" size="100%">Resistance Training</style></keyword><keyword><style  face="normal" font="default" size="100%">Self Efficacy</style></keyword><keyword><style  face="normal" font="default" size="100%">Sex Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Spinal Cord Injuries</style></keyword><keyword><style  face="normal" font="default" size="100%">Wheelchairs</style></keyword><keyword><style  face="normal" font="default" size="100%">Young Adult</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2012</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2012 Aug</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">91</style></volume><pages><style face="normal" font="default" size="100%">640-51</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;OBJECTIVE: The purpose of this study was to test the hypothesized association between exercise self-efficacy and exercise behavior, controlling for demographic variables and clinical characteristics, in a sample of individuals with spinal cord injuries. DESIGN: A cross-sectional national survey of 612 community-dwelling adults with spinal cord injury in the United States ranging from 18 to 89 yrs of age was conducted. Sample consisted of 63.1% men with a mean (SD) duration of 15.8 (12.79) yrs postinjury; 86.3% reported using a wheelchair. RESULTS: Self-efficacy was the only independent variable that consistently predicted all four exercise outcomes. Self-efficacy beliefs were significantly related to frequency and intensity of resistance training (R(2) change = 0.08 and 0.03, respectively; P &amp;lt; 0.01 for all) and aerobic training (R(2) change = 0.07 and 0.05, respectively; P &amp;lt; 0.01 for all), thus explaining between 3% and 8% of the variance. Hierarchical linear regression analysis revealed that controlling for other demographic and physical capability variables, the age-related variables made statistically significant contributions and explained between 1% and 3% of the variance in aerobic exercise frequency and intensity (R(2) change = 0.01 and 0.03, respectively; P &amp;lt; 0.01 for all). Clinical functional characteristics but not demographic variables explained participation in resistance exercise. CONCLUSIONS: Self-efficacy beliefs play an important role as predictors of exercise. Variations in exercise intensity along the age continuum have implications for exercise prescription and composition. Future research should replicate findings with objective activity measures.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">8</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/22660368?dopt=Abstract</style></custom1></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Gertz, Kevin J</style></author><author><style face="normal" font="default" size="100%">Bombardier, Charles H</style></author><author><style face="normal" font="default" size="100%">Rosenberg, Dori E</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Physical activity and depression in middle and older-aged adults with multiple sclerosis.</style></title><secondary-title><style face="normal" font="default" size="100%">Disability and Health Journal</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Disabil Health J</style></alt-title></titles><dates><year><style  face="normal" font="default" size="100%">2012</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2012 Oct</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">5</style></volume><pages><style face="normal" font="default" size="100%">269-76</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;BACKGROUND: Depression is common among people with multiple sclerosis (MS), and research shows that individuals, including individuals with MS, who are more physically active report lower rates of depression. However, little is known about the relative importance of level of physical activity (e.g., moderate versus vigorous) in relationship to depression, or the role that age might play in this relationship among people with MS. The current study sought to (1) clarify the associations between moderate and vigorous physical activity and depression in a sample of individuals with MS, (2) determine the associations between age and physical activity, and (3) test for the potential moderating influence of age on the associations between physical activity and depression. OBJECTIVE/HYPOTHESIS: Cross-sectional survey. METHODS: 112 individuals with MS completed a survey assessing demographic variables, amount of moderate and vigorous physical activity, and depression. RESULTS: There was a gradual decrease in the amount of moderate and vigorous physical activity as age increased, but this decrease was not statistically significant. Moderate physical activity was significantly (negatively) associated with depression across all age cohorts. Time spent in vigorous physical activity was significantly (negatively) associated with depression among the middle-aged but not younger or older participants who are physically active. CONCLUSIONS: The findings support a link between moderate physical activity and depression and, for middle-aged individuals, vigorous physical activity and depression in persons with MS. The findings indicate that research examining the impact of activity enhancing treatments on depression in individuals with MS is warranted.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">4</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/23021738?dopt=Abstract</style></custom1></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>10</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Burns, Michael I</style></author><author><style face="normal" font="default" size="100%">Baylor, Carolyn R</style></author><author><style face="normal" font="default" size="100%">Morris, Megan</style></author><author><style face="normal" font="default" size="100%">Yorkston, Kathryn M</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Preparing Patients with Communication Disorders for Medical Interactions</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2012</style></year></dates><publisher><style face="normal" font="default" size="100%">Annual Convention of the American Speech-Language-Hearing Association (ASHA)</style></publisher><pub-location><style face="normal" font="default" size="100%">Atlanta, GA</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Patients with communication disorders are a vulnerable healthcare population. SLPs are uniquely qualified to help these patients improve communication with healthcare providers. This presentation will focus on describing how these patients are susceptible to diminished healthcare access, and ways SLPs can help prepare them for improved future medical interactions. &amp;nbsp; &amp;nbsp;&lt;/p&gt;
</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>10</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Prevalence and Impact of Secondary Health Conditions in Individuals Aging With, and Aging Into, Disability</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2012</style></year></dates><publisher><style face="normal" font="default" size="100%">The Gerontological Society of America (GSA) Annual Scientific Meeting</style></publisher><pub-location><style face="normal" font="default" size="100%">San Diego, California</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>10</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Finlayson, Marcia</style></author><author><style face="normal" font="default" size="100%">Verrall, Aimee</style></author><author><style face="normal" font="default" size="100%">Matsuda, Patricia Noritake</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Prevalence of Falling and Injuries in Older Adults with a Physical Disability</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2012</style></year></dates><publisher><style face="normal" font="default" size="100%">American Public Health Association (APHA) Annual Meeting</style></publisher><pub-location><style face="normal" font="default" size="100%">San Francisco, CA</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Introduction. Falling among older adults is a wide-spread problem that often has devastating consequences for the individual and family. However, knowledge about the scope and correlates of falls among people aging with multiple sclerosis (MS), muscular dystrophy (MD), post-polio (PPS) and spinal cord injury (SCI) is very limited. Research in this area is particularly important because these individuals often experience problems with mobility, balance, sensation, and muscle power that place them at significant risk for both falls and injurious falls. Methods. Cross-sectional data were used from a survey of individuals aging (45 yrs +) with MS, MD, PPS, and SCI (n = 1,862). The survey contained 6 questions about falling. Logistical regression models were built to examine whether factors such as age, sex, and mobility were associated with falling. Results. The prevalence of falls reported in the last 6 months was 73% MD, 56% MS, 55%, PPS, 42% SCI. The rate of injurious falls was 23% MD, 19% MD, 22% PPS, 20% SCI. The major factor associated with falling in older adults across all 4 disabilities was limitations in mobility . Sex was only significant in people with MS, with women being less likely to fall than men. Younger and middle age categories tended to have an increased odds of falling. Conclusion. Preventing falls in persons with disabilities is of paramount importance. A better understanding of the frequency, severity, and correlates of falls is an important first step towards designing effective fall prevention and management programs for these individuals.&lt;/p&gt;
</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>10</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Matsuda, Patricia Noritake</style></author><author><style face="normal" font="default" size="100%">Verrall, Aimee</style></author><author><style face="normal" font="default" size="100%">Finlayson, Marcia</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Prevalence of Falling and Injuries in People Aging with Multiple Sclerosis, Muscular Dystrophy, Post-Polio Syndrome, and Spinal Cord Injury</style></title></titles><dates><year><style  face="normal" font="default" size="100%">2012</style></year></dates><publisher><style face="normal" font="default" size="100%">International Symposium on Gait and Balance in Multiple Sclerosis</style></publisher><pub-location><style face="normal" font="default" size="100%">Portland, OR</style></pub-location><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;&lt;u&gt;Background.&lt;/u&gt;&lt;/strong&gt;&amp;nbsp; Falls among older adults often have devastating consequences.&amp;nbsp; However, knowledge about the scope and correlates of falls among people aging with multiple sclerosis (MS), muscular dystrophy (MD), post-polio (PPS), and spinal cord injury (SCI) is limited.&amp;nbsp; Research in this area is particularly important because these individuals often experience problems with mobility, balance, sensation, and strength that place them at significant risk for both falls and injurious falls.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;u&gt;Methods&lt;/u&gt;&lt;/strong&gt;&lt;u&gt;.&lt;/u&gt; Cross-sectional data were used from a survey of individuals aging (45 yrs +) with MS, MD, PPS, and SCI (n = 1,862). The survey contained 6 questions about falling. Logistic regression models were built to examine whether age, sex, and mobility were associated with falling.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;u&gt;Results&lt;/u&gt;&lt;/strong&gt;&lt;strong&gt;.&lt;/strong&gt;&amp;nbsp; The prevalence of falls reported in the last 6 months was 73% for people with MD, 56% for MS, 55% PPS, and 42% for SCI. The rates of injurious falls were:&amp;nbsp; 23% in MD, 22% in PPS, 20% in SCI, and 19% in MS. The major factor associated with falling in all group was limitations in mobility (e.g., reporting use of an assistive device for mobility or limited self-mobility with use of physical assistance or device). Sex was only significant in people with MS, with women being less likely to fall than men.&amp;nbsp; Across all 4 groups the prevalence of falls was highest among the middle age groups (e.g.44-64).relative to the older groups (65+).&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&lt;u&gt;Conclusion/Clinical Relevance&lt;/u&gt;&lt;/strong&gt;&lt;strong&gt;:&lt;/strong&gt;&amp;nbsp; Falls are a common experience among people aging with MS, MD, PPS, or SCI.&amp;nbsp; Falls were experienced by all age groups studied, but greatest in those who are middle-aged (45-64).&amp;nbsp; This suggests that fall prevention strategies should not be limited to older individuals. &amp;nbsp;&amp;nbsp;Preventing falls is of paramount importance.&amp;nbsp; A better understanding of the frequency, severity, and correlates of falls will assist health care providers to develop effective fall prevention and management programs for these individuals.&amp;nbsp;&lt;/p&gt;
</style></abstract></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author><author><style face="normal" font="default" size="100%">Alschuler, Kevin N</style></author><author><style face="normal" font="default" size="100%">Smith, Amanda E</style></author><author><style face="normal" font="default" size="100%">Verrall, Aimee</style></author><author><style face="normal" font="default" size="100%">Goetz, Mark C</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Pain and fatigue in persons with postpolio syndrome: independent effects on functioning.</style></title><secondary-title><style face="normal" font="default" size="100%">Archives of Physical Medicine and Rehabilitation</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Arch Phys Med Rehabil</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Activities of Daily Living</style></keyword><keyword><style  face="normal" font="default" size="100%">Adult</style></keyword><keyword><style  face="normal" font="default" size="100%">Age Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged, 80 and over</style></keyword><keyword><style  face="normal" font="default" size="100%">Cross-Sectional Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Fatigue</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Middle Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Pain</style></keyword><keyword><style  face="normal" font="default" size="100%">Postpoliomyelitis Syndrome</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2011</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2011 Nov</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">92</style></volume><pages><style face="normal" font="default" size="100%">1796-801</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;OBJECTIVES: To better understand the importance of pain and fatigue in relation to functioning, and to investigate the role that age plays in these relationships in individuals with postpolio syndrome (PPS). DESIGN: Cross-sectional survey. SETTING: Community-based survey. PARTICIPANTS: Convenience sample of 446 individuals with PPS. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Physical functioning (Patient Reported Outcomes Measurement Information System Physical Functioning item bank items), psychological functioning (Patient Health Questionnaire-9), pain intensity (0-10 numerical rating scale [NRS]), and fatigue (0-10 NRS). RESULTS: Pain and fatigue make independent contributions to the prediction of physical and psychological functioning. Depression was more severe in the middle-aged (&amp;le;64y) group than in the young-old (65-74y) or middle-old to oldest (&amp;ge;75y) groups, although the associations between pain and fatigue and both physical and psychological functioning are similar across all age cohorts. CONCLUSIONS: Complaints of pain or fatigue in patients with PPS who are older or elderly should not be attributed &amp;quot;merely&amp;quot; to the process of aging. The findings also support the need for clinical trials to develop and evaluate interventions that may help patients with PPS function better by treating pain and fatigue, as well as the negative effects that these symptoms can have on functioning.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">11</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/22032213?dopt=Abstract</style></custom1></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Gertz, Kevin J</style></author><author><style face="normal" font="default" size="100%">Bombardier, Charles H</style></author><author><style face="normal" font="default" size="100%">Rosenberg, Dori E</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Physical activity and depression in middle and older-aged adults with multiple sclerosis.</style></title><secondary-title><style face="normal" font="default" size="100%">Multiple Sclerosis</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2011</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://msj.sagepub.com/content/17/10_suppl/S53.full.pdf+html</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">17</style></volume><pages><style face="normal" font="default" size="100%">254</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Introduction: Physical activity and depression are known to be associated, and reactivation programs have demonstrated efficacy as a treatment for depression. However, little research has examined the associations between physical activity and depression in individuals with multiple sclerosis (MS). Moreover, the extent to which physical activity changes as a function of age, and whether or not the associations between activity and depression vary as a function of age in multiple sclerosis is not known. Knowledge regarding these associations is important for determining whether, and for whom, reactivation programs might be effective for individuals aging with MS. Methods: Individuals with MS (N=112; mean age: 52.59 years; 81.3% women) completed a survey assessing demographic variables (age, sex), self-reported moderate and vigorous physical activity, and depression (Patient Health Questionnaire-9). Analyses tested for the effect of age on physical activity, and effects of age and physical activity on depression. Results: The percentages of participants reporting that they engaged in moderate and vigorous physical activity decreased across the age cohorts (e.g., percentages were 86%, 73%, and 57% for moderate activity; 50%, 37%, and 14% for vigorous activity for the young, middle aged, and older age cohorts, respectively). Minutes of moderate activity in the past week were highest among the middle age cohort (238 minutes), less in the young adult cohort (160 minutes), and least in the older cohort (95 minutes). However, minutes of vigorous physical activity decreased as a function of cohort (156, 77, and 33 minutes). Regression analyses indicated that minutes of moderate activity, but not minutes of vigorous activity, was significantly associated with lower depression scores, and that this effect did not differ as a function of age. Conclusions: The findings indicate that moderate and vigorous activity levels are lower for individuals with MS who are 65 years and older than in individuals who are younger than 65 years. Moderate activity was associated with lower levels of depression across all age cohorts. If these findings confirmed in future studies, they suggest that physical activity programs might effectively treat (or prevent) depression in persons with MS if they: (1) focus more on increasing moderate activities (as opposed to vigorous ones) and (2) be developed to address the needs of individuals with MS across the age spectrum.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">10 Suppl</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Johnson, Kurt L</style></author><author><style face="normal" font="default" size="100%">Bamer, Alyssa M</style></author><author><style face="normal" font="default" size="100%">Verrall, Aimee</style></author><author><style face="normal" font="default" size="100%">McMullen, Kara A</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Predicting unemployment in people ageing with multiple sclerosis.</style></title><secondary-title><style face="normal" font="default" size="100%">Multiple Sclerosis</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2011</style></year></dates><urls><web-urls><url><style face="normal" font="default" size="100%">http://msj.sagepub.com/content/17/10_suppl/S277.full.pdf+html</style></url></web-urls></urls><volume><style face="normal" font="default" size="100%">17</style></volume><pages><style face="normal" font="default" size="100%">S486</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background: Older adults who have a disability report higher rates of unemployment than older adults without a disability and one of the significant risks associated with disability is poverty. Approximately 90% of individuals diagnosed with MS are employed before their diagnosis, but as few as 30% remain working in as little as 5 years after diagnosis. About 40% of unemployed people with MS want to return to work. Little is known about changes in employment status for people with MS as they age. Objectives: Examine the predictors of unemployment stratified by age groups in people with MS. Methods: Data were analyzed from a cross-sectional survey of community-dwelling people with MS (n = 1,271) collected in 2006. Participants were recruited from the Greater Washington Chapter of the USA National MS Society (NMSS) and were eligible if they self-reported a diagnosis of MS and were at least 18 years of age. Measures of secondary conditions, employment status, history of MS, and demographic characteristics were included in the survey.A stratified, prediction logistical regression was run across 4 age groups (18 &amp;ndash; 34 yrs, 35 &amp;ndash; 44yrs, 45 &amp;ndash; 54 yrs, 55-64 yrs) and gender, duration of MS, EDSS Mobility, MS subtype, education level, problems thinking, cognitive fatigue, physical fatigue, pain, depression, and sleep problems were included as predictors. Results: The percentage of unemployed among people with MS climbed from 39% of 18-34 yr olds to 47% of 35-44 yr olds, to 58% of 45-54 yr olds to 75% of 55-64 yr olds. Predictors of unemployment were similar throughout the 3 middle age groups (35 &amp;ndash; 64 yrs) and included duration of disease, EDSS mobility level, problems thinking.Predictors differed in the youngest age group (18-34 yrs) where only education level was a statistically significant. Also, the contribution of pain as a significant predictor only occurred in the 35-44 age group. Conclusions: People with MS are more likely to be unemployed when their MS progresses including mobility limitations as well as cognitive impairments. Surprisingly, secondary conditions of fatigue, depression, and sleep problems were not associated unemployment. Programs and services to support employment should target people with MS who are experiencing mobility and cognitive changes as they age.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">10 Suppl</style></issue></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Yorkston, Kathryn M</style></author><author><style face="normal" font="default" size="100%">McMullen, Kara A</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Pathways of change experienced by people aging with disability: a focus group study.</style></title><secondary-title><style face="normal" font="default" size="100%">Disability and Rehabilitation</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Disabil Rehabil</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Adaptation, Psychological</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged, 80 and over</style></keyword><keyword><style  face="normal" font="default" size="100%">Aging</style></keyword><keyword><style  face="normal" font="default" size="100%">Disabled Persons</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Focus Groups</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Middle Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Multiple Sclerosis</style></keyword><keyword><style  face="normal" font="default" size="100%">Postpoliomyelitis Syndrome</style></keyword><keyword><style  face="normal" font="default" size="100%">Quality of Life</style></keyword><keyword><style  face="normal" font="default" size="100%">Spinal Cord Injuries</style></keyword><keyword><style  face="normal" font="default" size="100%">Washington</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2010</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2010</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">32</style></volume><pages><style face="normal" font="default" size="100%">1697-704</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;PURPOSE: To examine the issues related to aging with disability from the perspective of the person with the disabilities. METHOD: Twelve community-dwelling adults with spinal cord injury (SCI), post-polio syndrome (PPS) or multiple sclerosis (MS) participated in focus groups where they were asked open-ended questions about changes related to aging with disability, accommodations made and perspectives on the future. RESULTS: Results of qualitative analysis suggested five major themes related to aging with a disability: (1) Participant identity, including comments about how participants described themselves and their lives with a long-standing disability; (2) Physical pathways including comments about the progression of physical symptoms; (3) Psychosocial pathways, including descriptions of adaptations to disability, the development of emotional well-being and strategies to deal with disability; (4) Changing health care, reflecting improvement noted over time in health care services; and (5) Concerns about the future, including comments reflecting participant uncertainty about the potential course of disability. CONCLUSIONS: The process of aging with disability was characterised by multiple pathways. Some, including positive psychosocial adjustment and medical advancements, were favourable, while others, including physical decline, were not. The co-existence of high quality of life in the presence of physical decline is consistent with a larger literature in older adults, and future research should focus on identifying aging factors that may contribute to the buffering the psychological impact of physical decline.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">20</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/20225933?dopt=Abstract</style></custom1></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Motl, Robert W</style></author><author><style face="normal" font="default" size="100%">McAuley, Edward</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Physical activity, disability, and quality of life in older adults.</style></title><secondary-title><style face="normal" font="default" size="100%">Physical medicine and rehabilitation clinics of North America</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Phys Med Rehabil Clin N Am</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Activities of Daily Living</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged</style></keyword><keyword><style  face="normal" font="default" size="100%">Aged, 80 and over</style></keyword><keyword><style  face="normal" font="default" size="100%">Aging</style></keyword><keyword><style  face="normal" font="default" size="100%">Attitude to Health</style></keyword><keyword><style  face="normal" font="default" size="100%">Disability Evaluation</style></keyword><keyword><style  face="normal" font="default" size="100%">Disabled Persons</style></keyword><keyword><style  face="normal" font="default" size="100%">Exercise</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Geriatric Assessment</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Mobility Limitation</style></keyword><keyword><style  face="normal" font="default" size="100%">Motor Activity</style></keyword><keyword><style  face="normal" font="default" size="100%">Physical Fitness</style></keyword><keyword><style  face="normal" font="default" size="100%">Quality of Life</style></keyword><keyword><style  face="normal" font="default" size="100%">Self Concept</style></keyword><keyword><style  face="normal" font="default" size="100%">Self Efficacy</style></keyword><keyword><style  face="normal" font="default" size="100%">Sickness Impact Profile</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2010</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2010 May</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">21</style></volume><pages><style face="normal" font="default" size="100%">299-308</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;This article provides an overview of physical activity and its association with function, disability, and quality of life (QOL) outcomes among older adults. The rationale and the associated onset of chronic disease conditions that influence function, disability, and QOL is embedded in the &amp;quot;Graying of America&amp;quot;. The literature reviewed in this article yielded 3 general conclusions: (1) there is an alarming rate of physical inactivity among older adults, particularly those aging with a disability; (2) there is strong evidence for the beneficial effects of physical activity on impairment, function, and health-related aspects of QOL among older adults, but there is less conclusive evidence for positive effects of physical activity on disability and global QOL; and (3) there is emerging support for self-efficacy as a mediator of the association between physical activity and disability, and QOL outcomes in older adults. Researchers should consider designing and testing programs that incorporate strategies for enhancing self-efficacy along with the promotion of physical activity as a means of preventing disablement and improving QOL among older adults. Such work will go a long way in identifying practical approaches that can be applied for improving the later years of life and is critical because many Americans will soon be affected by the aging of adults in the United States.&lt;/p&gt;
</style></abstract><issue><style face="normal" font="default" size="100%">2</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/20494278?dopt=Abstract</style></custom1></record><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jensen, Mark P</style></author><author><style face="normal" font="default" size="100%">Molton, Ivan R</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Preface: aging with a physical disability.</style></title><secondary-title><style face="normal" font="default" size="100%">Physical medicine and rehabilitation clinics of North America</style></secondary-title><alt-title><style face="normal" font="default" size="100%">Phys Med Rehabil Clin N Am</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Aging</style></keyword><keyword><style  face="normal" font="default" size="100%">Disability Evaluation</style></keyword><keyword><style  face="normal" font="default" size="100%">Disabled Persons</style></keyword><keyword><style  face="normal" font="default" size="100%">Forecasting</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">North America</style></keyword><keyword><style  face="normal" font="default" size="100%">Periodicals as Topic</style></keyword><keyword><style  face="normal" font="default" size="100%">Physical Medicine</style></keyword><keyword><style  face="normal" font="default" size="100%">Physical Therapy Modalities</style></keyword><keyword><style  face="normal" font="default" size="100%">Quality of Health Care</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2010</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2010 May</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">21</style></volume><pages><style face="normal" font="default" size="100%">xv-xvi</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><issue><style face="normal" font="default" size="100%">2</style></issue><custom1><style face="normal" font="default" size="100%">http://www.ncbi.nlm.nih.gov/pubmed/20494274?dopt=Abstract</style></custom1></record></records></xml>