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Extra resources for Physiotherapy, Volume 97, Issue 1 (2011)
These results concur with previous reports that participation is multifactorial in aetiology , yet unlike previous studies, neither personal factors (such as age and gender) nor environmental factors (such as living alone) were significantly associated with participation [3,28]. There is very strong evidence of a relationship between mood and participation, in agreement with previous findings that older people with depression have considerably higher odds of participation restriction . In the final multivariate model, mood makes the largest unique contribution to the variance in participation restriction, although number of medical conditions, grip strength and the mobility measure (CSPS) also make statistically significant contributions.
Difficulty mobilising outside the home is widely acknowledged as a primary problem in older people  and those with disability . Work was defined broadly, primarily addressing the ‘major life areas’ domain of the ICF. Respondents rated their capacity to do the work that was important to them, using the examples of voluntary and paid work, housework and study. The measurement instrument did not enable evaluation of the relative restriction between these elements; however, Wilkie et al. found that participation restriction was not prevalent in areas of work or education, yet it posed a problem in terms of looking after the home .
The phrasing of this question aimed to encourage the participants to consider not only problems in functioning but also resources and environmental factors, which are included as contextual factors (personal factors, environmental factors) in the ICF model. Additionally, the participants were asked to complete questions on demographic characteristics and professional A. Glaessel et al. / Physiotherapy 97 (2011) 33–46 experience. Responses were collected and linked to the ICF [34,35]. In the second round of the Delphi procedure, the participants received a list of the ICF categories linked to the responses of the first round.