Relationship between attention and activities of daily living among older people in long-term care health facility: A cross-sectional study

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Objective: Attention decline affects the activities of daily living （ADL） of people with brain dysfunction. However, the association between attention and ADL in older people with Long-Term Care Insurance Certification （LTCIC） having ADL disabilities remains unexplored. This study aimed to determine the association between attention and ADL in older adults with LTCIC. Methods: A cross-sectional study was conducted among 51 older adults with LTCIC. The care level, Barthel Index （BI）,Trail Making Test part-A（TMT-A）, Mini-Mental State Examination-Japanese （MMSE-J）, range of motion limitation and motor paralysis were examined. Multiple regression analysis was performed to clarify the association between attention and ADL. Stratified multiple regression analysis by care level was performed to clarify the association between attention and ADL. Each analysis was set up with BI as the dependent variable, and age, TMT-A, MMSE-J, range of motion limitation and motor paralysis as independent variables. Results: Multiple regression analysis （β＝-0.38, p<0.01） as well as the stratified multiple regression analysis in the care level group（ β＝-0.39, p=0.01） showed that TMT-A was significantly associated with BI. Conclusions: Attention decline affects ADL in older people with LTCIC. Therefore, it is crucial to accurately assess attention, support attention decline, and prevent its progression.

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