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Déterminants de la valeur accordée à l'autonomie dans les activités de la vie quotidienne par les aînés en perte d'autonomie*

Published online by Cambridge University Press:  29 November 2010

Suzanne Quénec'hdu  and
Réjean Hébert
Suzanne Quénec'hdu
Affiliation:
Foyer St-Joseph de Sherbrooke
Réjean Hébert
Affiliation:
Centre de recherches en gériatrie et gérontologie de l'Hôpital d'Youville
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Abstract

The value that the elderly put on being autonomous is an intrinsic characteristic of the aging population that can have a decisive influence on their motivation to maintain or recover their autonomy. This study was designed to examine the importance that elderly people who have lost their autonomy put on the ability to perform themselves five activities of daily living: eating, washing, dressing, eliminating and moving around. It also explores the influence of age, sex, place of residence, level of physical autonomy, feeling of well-being and socio-economic status on the value put on autonomy. A non-probabilistic sample of 68 elderly subjects was interviewed and the value put on autonomy was evaluated using two instruments: Osgood, Suci and Tannenbaum's differential semantic, and Torrance's time trade-off technique. The results suggest that the subjects consider physical autonomy very important. Educational level and the degree of physical autonomy were the main factors linked to importance. However, no link with age or place of residence (institution vs. home) was found.

Résumé

La valeur que les gens âgés accordent au fait d'être autonome est une caractéristique intrinsèque de cette population qui peut avoir une influence déterminante sur sa motivation à maintenir ou récupérer son autonomie. Cette étude vise à verifier l'importance accordée, par les gens âgés en perte d'autonomie, à la capacité à exécuter seuls cinq activités de la vie quotidienne: se nourrir, se laver, s'habiller, éliminer et se déplacer. Elle explore aussi l'influence de l'âge, du sexe, du lieu de résidence, du niveau d'autonomie physique, du sentiment de bien-être et du statut socio-économique sur la valeur accordée à l'autonomie. Un échantillon non-probabiliste de 68 sujets âgés a été interrogé et la valeur accordée à l'autonomie a été mesurée à l'aide de deux instruments: le différentiel sémantique d'Osgood, Suci et Tannenbaum et le troc temporel de Torrance. Les résultats suggèrent que les sujets accordent une forte importance à l'autonomie physique. Le niveau éducationnel et le niveau d'autonomie physique sont les principaux facteurs liés à cette importance. Par contre, aucun lien n'a été démontré avec l'âge ou le lieu de résidence (institution vs. domicile personnel).

Keywords

Valeursmotivationadaptationautonomieactivités de la vie quotidienne.ValuesMotivationAdaptationAutonomyActivities of Daily Living.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 14 , Issue 4 , Winter/hiver 1995 , pp. 706 - 718
Copyright
Copyright © Canadian Association on Gerontology 1995

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References

Réferences

Arling, G., Harkins, E., & Capitman, J.A. (1986). Institutionalization and Personal Control. Research on Aging, 8(1), 38–56.CrossRefGoogle ScholarPubMed
Atchley, R.C. (1989). A Continuity Theory of Normal Aging. The Gerontologist, 29(2), 183–190.CrossRefGoogle ScholarPubMed
Baltes, E.M., & Baltes, M.M. (1990). Successful aging: Perspectives from the behavioral sciences. New York: Cambridge University Press.CrossRefGoogle Scholar
Baltes, M.M., & Barton, E.M. (1979). Behavioral analysis of aging: a Review of the operant model and research. International Journal of Behavior and Development, 2, 297–320.CrossRefGoogle Scholar
Baltes, M.M., Honn, S., Barton, E.M., Orzech, M., & Lago, D. (1983). On the social Ecology of Dependence and Independence in Elderly Nursing Home Residents: A Replication and Extension. Journal of Gerontology, 38(5), 556–564.CrossRefGoogle ScholarPubMed
Baltes, M.M., Reisenzen, R., & Kinder-man, T. (1984). The Impact of the Social Environment on Dependence and Independence in the Elderly: A Cross-Cultural Comparison. The Gerontologist, 24(suppl. 1), 273.Google Scholar
Barton, E.M., Baltes, M.M., & Orzech, M. (1980). Etiology of Dependence in Older Nursing Home Residents during Morning Care: The Role of Staff Behavior. Journal of Personality and Social Psychology, 38(3), 423–431.CrossRefGoogle ScholarPubMed
Bengston, V.L., & Lovejoy, M.C. (1973). Values, personality, social structure, an interpersonal analysis. American Behavioral scientist, 16(6), 880–912.Google Scholar
Bouffard, L., & Bastin, E. (1989). La perspective future des personne âgées en perte d'autonomie et vivant dans des résidences spécialisées. Sherbrooke, PQ: Université de Sherbrooke.Google Scholar
Bouffard, L., & Bastin, E. (1990). La perspective future des personnes âgées en perte d'autonomie et vivant dans leur résidence. Sherbrooke, PQ: Université de Sherbrooke.Google Scholar
Bouffard, L., Lapierre, S., & Bastin, E. (1988). Contenu et extension de la perspective future chez la personne âgée. Sherbrooke, PQ: Université de Sherbrooke.Google Scholar
Churchill, D.N., Morgan, J., & Torrance, G.W. (1984). Quality of life in end-state renal disease. Peritoneal Dialysis Bulletin, 4, 20–23.CrossRefGoogle Scholar
Clark, M., & Anderson, B.G. (1963). Culture and Aging, an Anthropological Study of Older Americans. New York: Arno Press.Google Scholar
Cohen, J. (1977). Statistical Power Analysis for the Behavioral Sciences (éd. rév.). Orlando: Academic Press.Google Scholar
Cowgill, D.O., & Holmes, L.D. (1972). Aging and Modernization. New York: Appleton-Century-Crofts, Sociology Series.Google Scholar
Doble, S. (1988). Intrinsinc Motivation and Clinical Practice: The Key to Understanding the Unmotivated Client. Canadian Journal of Occupational Therapy, 55(2), 75–81.CrossRefGoogle Scholar
Dowd, J.J. (1980). The problem of generations:A generational analysis. International Journal of Aging Human Development, 10(3), 213–229.CrossRefGoogle Scholar
acute;bert, R., Carrier, R., & Bilodeau, A. (1988a). The Functional Autonomy Measurement System (SMAF): Description and Validation of an Instrument for the Measurement of Handicaps. Age and Ageing, 17, 293–302.Google Scholar
Hébert, R., Carrier, R., & Bilodeau, A. (1988b). Le système de mesure de l'autonomie fonctionnelle (SMAF). La Revue de Gériatrie, 13(4), 161–167.Google Scholar
Kemp, B.J. (1988). Motivation, rehabilitation, and aging: A conceptual model. Topics in Geriatric Rehabilitation, 3(3), 41–51.CrossRefGoogle Scholar
Kielhofner, G. (1980). A Model of Human Occupation, Part 2. Ontogenesis from the Perspective of Temporal Adaptation. The American Journal of Occupational Therapy, 34(10), 657–663.CrossRefGoogle Scholar
Kirchman, M.M. (1984). Measuring the Quality of Life. The Occupational Therapy Journal of Research, 6(1), 21–32.CrossRefGoogle Scholar
Lubeck, D.P., & Yelin, E.H. (1988). A Question of Value: Measuring the Impact of Chronic Disease. The Millbank Quarterly, 66(3), 444–464.CrossRefGoogle ScholarPubMed
Osgood, C.E., Suci, G.J., & Tannenbaum, P.H. (1957). The Measurement of Meaning. Urbana: University of Illinois Press.Google Scholar
Palmore, E.B. (1968). The Effects of Aging on Activities and Attitudes. The Gerontologist, 8, 259–263.CrossRefGoogle ScholarPubMed
Reker, G.T., & Wong, P.T. (1984). Psychological and Physical Weil-Being in the Elderly: The Perceived Well-Being Scale (PWB). La Revue canadienne du vieillissement, 3(1), 23–32.CrossRefGoogle Scholar
Riopel, Smith N., Kielhofner, G., & Hawkins, Watt J. (1986). The Relationship Between Volition, Activity Pattern, and Life Satisfaction in the Elderly. American Journal of Occupational Therapy, 40(4), 278–283.Google Scholar
Rockeach, R. (1974). Change and stability in American value systems, 1968–1971. Public Opinion Quaterly, 38, 222–238.CrossRefGoogle Scholar
Spassof, R.A., Kraus., A.S., Beattie, E.J., Holden, D.E.W., Lawson, J.S., Rodenburg, M., & Woodcock, G.M. (1978). A Longitudinal Study of Elderly Residents of Long-Stay Institutions: 1. Early Response to Institutional Care. The Gerontologist, 18(3), 281–292.CrossRefGoogle Scholar
Thompson, M.S., Read, J.L., & Liang, M. (1982). Willingness-to-pay concepts for societal decisions in health. Dans R.L. Kane & R.A. Kane, Values and long term care (pp. 103–125). Lexington: D.C. Heath.Google Scholar
Tobin, S.S. (1969). Institutional Dependency in the Aged. Dans R.A. Kalish, The Dependencies of Old People, Occasional Papers on Gerontology (pp. 85–95) [s.l.], The University of Michigan-Wayne State University.Google Scholar
Torrance, G.W. (1976). Social Preferences for Health States: An Empirical Evaluation of Three Measurement Techniques. Socio-Economical Planning Sciences, 10(3), 129–136.CrossRefGoogle Scholar
Vézina, J., Bourque, P., & Bélanger, Y. (1988). Dépression, anxiété et bien-être suite aux différentes périodes de deuil chez les personnes ágées. La Revue canadienne du vieillissement, 7(4), 382–396.CrossRefGoogle Scholar
Webber, I.L., Coombs, D.W., & Hollingsworth, J.S. (1974). Variations in value orientations by age in a developing society. Journal of Gerontology, 29(6), 676–683.CrossRefGoogle Scholar
Young, D.D. (1974). The Semantic Differential: Application as an Affective Measure. The Journal of Experimental Education, 42(4), 86–91.CrossRefGoogle Scholar