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Helen Hoenig, MD, Donald H. Taylor, Jr, PhD and Frank A. Sloan, PhD

Helen Hoenig is with the Department of Medicine/Geriatrics, Duke University Medical Center, and with the Physical Medicine and Rehabilitation Service, Durham Veterans Affairs Medical Center, Durham, NC. Donald H. Taylor Jr and Frank A. Sloan are with the Center for Health, Policy, and Management and Duke University Medical Center, Durham, NC.

Correspondence: Requests for reprints should be sent to Helen Hoenig, MD, Physical Medicine and Rehabilitation Service (117), Durham Veterans Affairs Medical Center, 508 Fulton St, Durham, NC 27705 (e-mail: helen.hoenig{at}duke.edu).

Objectives. This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another person (personal assistance).

Methods. In a cross-sectional study of 2368 community dwellers older than 65 years with 1 or more limitations in basic activities of daily living (ADLs) from the 1994 National Long Term Care Survey, the relation between technological assistance and personal assistance was examined.

Results. Among people with ADL limitations, multivariate models showed a strong and consistent relation between technological assistance and personal assistance, whereby use of equipment was associated with fewer hours of help.

Conclusions. Among people with disability, use of assistive technology was associated with use of fewer hours of personal assistance.

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