How Should Disability Be Measured in Older Adults? An Analysis from the Boston Rehabilitative Impairment Study of the Elderly.
How Should Disability Be Measured in Older Adults? An Analysis from the Boston Rehabilitative Impairment Study of the Elderly.
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DOI：
10.1111/jgs.13453
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发表时间：
2015-06
影响因子：
6.3
通讯作者：
Jette AM
中科院分区：
文献类型：
--
作者：
Beauchamp MK;Bean JF;Ward RE;Kurlinski LA;Latham NK;Jette AM
The Late-Life Function and Disability Instrument (LLFDI) assesses two key dimensions of disability: frequency of and limitations in performance of major life tasks. The aim of this study was to determine and compare the predictive validity and responsiveness of the LLFDI frequency and limitation dimensions. Secondary analysis of 2-year follow-up data from the Boston Rehabilitative Impairment Study of the Elderly (RISE). Primary care. Community-dwelling older adults (age ≥ 65 years) (n=430) at risk for mobility decline. The LLFDI frequency and limitation dimensions, self-rated health, hospitalizations and emergency room (ER) visits over 2 years. Responsiveness measures included effect size (ES) estimates and minimal detectable change (MDC) scores. The LLFDI frequency dimension predicted low self-rated health (OR =0.51, P <.001), hospitalizations (OR =0.68, P <.001), and ER visits (OR =0.73, P =0.003) over 2 years while the limitation dimension did not. The absolute ES was 0.63 for the frequency dimension and 0.81 for the limitation dimension. The proportion of subjects with a decline ≥ the MDC was 10.6% for the frequency dimension and 14.2% for the limitation dimension. For patients who improved ≥ the MDC, the proportion was 1.7% for the frequency dimension and 15.3% for the limitation dimension. Frequency of participation in major life roles was a better predictor of adverse outcomes than perceived limitations; however, limitations appeared to be more responsive to meaningful change. These results can be used to guide the selection of the most appropriate metric for measuring disability in geriatric research.
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影响因子：
3.2
作者：
Haley, SM;Fragala-Pinkham, MA
通讯作者：
Fragala-Pinkham, MA
影响因子：
5.7
作者：
Hardy, Susan E.;Kang, Yihuang;Degenholtz, Howard B.
通讯作者：
Degenholtz, Howard B.
DOI：
10.1093/gerona/57.4.m209
发表时间：
2002-04-01
影响因子：
5.1
作者：
Jette, AM;Haley, SM;Ashba, J
通讯作者：
Ashba, J
DOI：
10.1136/qshc.3.1.11
发表时间：
1994-03-01
期刊：
Quality in health care : QHC
影响因子：
--
作者：
Harwood, R H;Rogers, A;Ebrahim, S
通讯作者：
Ebrahim, S
DOI：
10.1093/gerona/56.7.m412
发表时间：
2001-07-01
影响因子：
5.1
作者：
Keysor, JJ;Jette, AM
通讯作者：
Jette, AM