Factors Affecting Return to Living Alone After Medical Rehabilitation: A Cross-Validation Study

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ABSTRACT.Objective:To cross validate and extend the authors' finding that cognition is one of the best predictors of return to living alone after medical rehabilitation.Design:A prospective sample of live-alone older medical rehabilitation patients followed from admission to discharge. Logistic regression identified significant predictors of return to living alone, and measures of predictive power were calculated.Setting:Stroke and geriatric units of a free-standing urban medical rehabilitation hospital.Participants:One hundred ninety-four older consecutively admitted medical rehabilitation patients 60 years old or older.Main Outcome Measure:Return to living alone versus discharge to living with others.Results:Consistent with the authors' original findings, both cognition and self-care motor skills were significant predictors of return to living alone. Cognition acted as a suppressor variable, leading to age and education effects only when entered into the regression equation. New variables did not add significantly to prediction.Conclusion:The value of rehabilitation psychologists' role in making cognition-based recommendations about discharge disposition in live-alone older adults is supported by findings from this study.

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