Simple counts of ADL dependencies do not adequately reflect older adults' preferences toward states of functional impairment.
Simple counts of ADL dependencies do not adequately reflect older adults' preferences toward states of functional impairment.
复制标题
DOI：
10.1016/j.jclinepi.2008.05.001
复制
发表时间：
2008-12
影响因子：
7.2
通讯作者：
Goldstein, Mary K.
中科院分区：
文献类型：
--
作者：
Sims, Tamara;Holmes, Tyson H.;Bravata, Dena M.;Garber, Alan M.;Nelson, Lorene M.;Goldstein, Mary K.
关键词：
To use unweighted counts of dependencies in Activities of Daily Living (ADLs) to assess the impact of functional impairment requires an assumption of equal preferences for each ADL dependency. To test this assumption, we analyzed standard gamble utilities of single and combination ADL dependencies among older adults. Study Design and Setting: Four hundred older adults used multimedia software (FLAIR1) to report standard gamble utilities for their current health and hypothetical health states of dependency in each of 7 ADLs and 8 of 30 combinations of ADL dependencies. Utilities for health states of multiple ADL dependencies were often greater than for states of single ADL dependencies. Dependence in eating, the ADL dependency with the lowest utility rating of the single ADL dependencies, ranked lower than 7 combination states. Similarly, some combination states with fewer ADL dependencies had lower utilities than those with more ADL dependencies. These findings were consistent across groups by gender, age, and education. Our results suggest that the count of ADL dependencies does not adequately represent the utility for a health state. Cost-effectiveness analyses and other evaluations of programs that prevent or treat functional dependency should apply utility-weights rather than relying on simple ADL counts.
登录
查看更多内容
影响因子：
3.6
作者：
Bravata, DM;Nelson, LM;Goldstein, MK
通讯作者：
Goldstein, MK
影响因子：
3
作者：
KATZ, S;AKPOM, CA
通讯作者：
AKPOM, CA
影响因子：
7.2
作者：
Kane, RL;Rockwood, T;Finch, M
通讯作者：
Finch, M
影响因子：
8.3
作者：
King, JT;Tsevat, J;Roberts, MS
通讯作者：
Roberts, MS
影响因子：
6.7
作者：
Philp, I;Armstrong, GK;Machado, ABC
通讯作者：
Machado, ABC