This study profiles older adults who are able to accommodate declines in capacity successfully by using assistive devices. Drawing on data from the National Health and Aging Trends Study (NHATS), the study examines the prevalence, incidence, and persistence of successful accommodation of mobility and self-care activity limitations. Analyses explore how participation, subjective well-being, and other personal and environmental characteristics of those who began or continued successful accommodation after the base year differ from those who were fully able to perform daily activities. Nearly one-quarter of older adults have put in place accommodations that allow them to carry out daily activities with neither assistance nor difficulty. Adjusted models indicated that beginning or continuing successful accommodation is more common for those ages 80–89, those with more children, and those living in homes with environmental features already installed. Wellbeing levels for levels for successful accommodators are similar to those for persons who are fully able, and participation restrictions are only slightly higher. Focusing on facilitating successful accommodation among those who experience declines in capacity may be an effective means of promoting continued participation and wellbeing in later life.
To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.