{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:16:37Z","timestamp":1778742997155,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T00:00:00Z","timestamp":1548720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to investigate the relationship between the objectively measured mobility status of rural community\u2010dwelling older people and their use of formal and informal services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Community volunteers, rural New South Wales, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Seventy community\u2010dwelling people aged 80 years or older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The sum of formal and informal services used, expressed as both total hours per month and the risk of using five hours (the median) or more per month. Predictor variables were usual gait speed, Four Square Step Test, short physical performance battery and de Morton Mobility Index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Each predictor variable was significantly associated with service use as a continuous or dichotomous variable. The strongest associations were with gait speed and the short physical performance battery continuous scoring. These relationships remained significant after adjusting for likely confounders, including age, sex, nutritional risk status, cognition and negative affect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides strong evidence that the worse an older person's objectively measured mobility scores, the greater their use of community services to remain living in their rural community. Every measure of mobility proved to be strongly associated with the hours of service use. This objective evidence enhances previous knowledge based on self\u2010report measures. The impact on service use of strategies that enhance older people's mobility warrants investigation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12438","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T19:53:05Z","timestamp":1548791585000},"page":"6-13","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Objectively measured mobility of rural community\u2010dwelling people aged 80 and over is strongly associated with greater use of services for community integration and social support: An observational study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7558-4106","authenticated-orcid":false,"given":"David","family":"Lester","sequence":"first","affiliation":[{"name":"School of Public Health Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Tiedemann","sequence":"additional","affiliation":[{"name":"School of Public Health Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Sherrington","sequence":"additional","affiliation":[{"name":"School of Public Health Sydney Medical School The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X10000644"},{"key":"e_1_2_9_3_1","volume-title":"Report on Government Services \u2010 Aged Care Services","author":"Productivity Commission","year":"2016"},{"key":"e_1_2_9_4_1","volume-title":"Aged Care Client Record (ACCR) User Guide","author":"Department of Human Services","year":"2013"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp257"},{"key":"e_1_2_9_6_1","first-page":"7","article-title":"Factors associated with use of community support services in an older Australian population","volume":"23","author":"Jie JW","year":"1999","journal-title":"Australian and New Zealand Journal of Public Health"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312115614588"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X1300072X"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2015.03.588"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1975.tb00927.x"},{"key":"e_1_2_9_11_1","unstructured":"Australian Bureau of Statistics.Population projections Australia 2006 to 2101. Report No.: Cat no 32220.Canberra:ABS 2008."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afm157"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03659.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022022106297301"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-51"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.08.098"},{"key":"e_1_2_9_17_1","first-page":"6","article-title":"The complexity score: towards a clinically\u2010relevant, clinician\u2010friendly measure of patient multi\u2010morbidity","volume":"2","author":"Upshur REG","year":"2012","journal-title":"International Journal of Person Centered Medicine"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/ptj\/83.3.237","article-title":"A physiological profile approach to falls risk assessment and prevention","volume":"83","author":"Lord SR","year":"2003","journal-title":"Physical Therapy"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.03035.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.2.M85"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-6612.2010.00497.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2015.03.005"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.5.M289"},{"key":"e_1_2_9_24_1","first-page":"27","article-title":"Mark DB Multivariable prognostic models: issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors","volume":"15","author":"Harrell FEJ","year":"1996","journal-title":"Statistics in Medicine"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.06.008"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajr.12438","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12438","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T20:46:07Z","timestamp":1694724367000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.12438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,29]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/ajr.12438"],"URL":"https:\/\/doi.org\/10.1111\/ajr.12438","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,29]]},"assertion":[{"value":"2018-03-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}