Measures of Functional Status in Community-dwelling Elders

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 1998 Dec 9

PMID 9844079

Citations 26

Authors

S E Sherman

D Reuben

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate two performance-based measures of functional status and assess their correlation with self-report measures.

Design: Cross-sectional study.

Participants: Of the 363 community-dwelling elders enrolled in a trial of comprehensive geriatric assessment who participated, all had at least one of four target conditions (urinary incontinence, depression, impaired functional status, or history of falling).

Measurements: Two performance-based measures, National Institute on Aging (NIA) Battery, and Physical Performance Test (PPT), and three self-report functional status measures, basic and intermediate activities of daily living and the Short-Form-36 (SF-36) physical functioning subscale, were used. Measures of restricted activity days, patient satisfaction and perceived efficacy were also used.

Main Results: All measures were internally consistent. There was a high correlation between the NIA and PPT (kappa = 0.71), while correlations between the performance-based and self-report measures ranged from 0.37 to 0.50. When patients with values above the median on the two performance-based measures were compared with those below, there were significant differences (p </=.0001) for age, number of medications, and the physical function, pain, general health, and physical role function SF-36 subscales.

Conclusions: Performance-based measures correlated highly with each other and moderately with questionnaire-based measures. Performance-based measures also had construct validity and did not suffer from floor or ceiling effects.

Citing Articles

Predicting risk of declining functional ability in community-dwelling older people.

Pedone C, De Vincentis A, Quarata F, Bandinelli S, Ferrucci L, Antonelli Incalzi R Arch Gerontol Geriatr. 2022; 106:104882.

PMID: 36470178 PMC: 10866326. DOI: 10.1016/j.archger.2022.104882.

Indicators and Instruments to Assess Components of Disability in Community-Dwelling Older Adults: A Systematic Review.

Moreira J, Melo A, Santos R, Sousa A Sensors (Basel). 2022; 22(21).

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Metabolic Syndrome Trajectories and Objective Physical Performance in Mid-to-Early Late Life: The Study of Women's Health Across the Nation (SWAN).

Napoleone J, Boudreau R, Lange-Maia B, El Khoudary S, Ylitalo K, Kriska A J Gerontol A Biol Sci Med Sci. 2021; 77(2):e39-e47.

PMID: 34216218 PMC: 8824556. DOI: 10.1093/gerona/glab188.

Observed Physical Function Is Associated With Better Cognition Among Elderly Adults: The Adventist Health Study-2.

Gatto N, Garcia-Cano J, Irani C, Liu T, Arakaki C, Fraser G Am J Alzheimers Dis Other Demen. 2020; 35:1533317520960868.

PMID: 32996324 PMC: 10623938. DOI: 10.1177/1533317520960868.

Impact of Improvement in Walking Speed on Hospitalization and Mortality in Females with Cardiovascular Disease.

Grazzi G, Mazzoni G, Myers J, Caruso L, Sassone B, Pasanisi G J Clin Med. 2020; 9(6).

PMID: 32517001 PMC: 7357156. DOI: 10.3390/jcm9061755.

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