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We examine prevalence of four compensatory strategies (assistive devices, receiving help, changing frequency, or method of performance) and their immediate and long-term relationship to well-being. A total of 319 older adults (&gt;70 years) with functional difficulties at home provided baseline data; 285 (89%) provided 12-month data. For 17 everyday activities, the most frequently used strategy was changing method of performance ( M = 10.27 activities), followed by changing frequency ( M = 6.17), assistive devices ( M = 5.38), and receiving help ( M = 3.37; p = .001). Using each strategy type was associated with functional difficulties at baseline ( ps &lt; .0001), whereas each strategy type except changing method predicted functional decline 12 months later ( ps &lt; .0001). Changing frequency of performing activities was associated with depressed mood ( p &lt; .0001) and poor mastery ( p &lt; .0001) at both baseline and 12 months ( ps &lt; .02). Findings suggest that strategy type may be differentially associated with functional decline and well-being although reciprocal causality and the role of other factors in these outcomes cannot be determined from this study.

Compensatory Strategies: Prevalence of Use and Relationship to Physical Function and Well-Being