Subjective vs. Objective Assessment of Functional Status

功能状态的主观与客观评估

• 批准号: 6630694
• 负责人: PAULA C CARDER
• 金额: $ 7.2万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6630694
• 关键词: African American; behavioral /social science research tag; clinical research; data collection methodology /evaluation; diagnosis; extended care; functional ability; gender difference; geriatrics; human old age (65+); human subject; interview; person with disability; racial /ethnic difference; residential care facility; self concept

This application responds to PA-01-037, research objective #22: Improved Measures and Methodologies. The activities of daily living and instrumental activities of daily living have been the foundation of geriatric assessment for four decades. A wide variety of assessment protocols have been developed during that time. However, almost no empirical research has been conducted on the meaning of these items to older persons. What references do individuals use when responding to questions about ability to function in these domains? How does race, diagnosis, or physical impairment influence the individual's subjective assessment of ability? These questions will be pursued during a 12-month exploratory study in an assisted living facility with a largely African American population. Data collection methods include observation of resident assessments followed by think aloud exercises with each resident. In-depth resident interviews will be conducted with a sub-sample selected by impairment level (low, moderate and high) as identified by the formal assessment. Research outcomes will include a set of domains that individuals use when responding to questions about functional ability. Comparisons between the professional and personal assessment will be made. In addition, perspectives on functional ability based on race and gender will be identified. This research in assisted living facilities will set the stage for additional study of geriatric assessment in other long-term settings and with additional racial and ethnic minorities. Future research would compare health and service outcomes to the functional status domains identified through this qualitative study.

本申请响应PA-01-037，研究目标#22：改进措施和方法。40年来，日常生活活动和工具性日常生活活动一直是老年医学评估的基础。在此期间，制定了各种各样的评估议定书。然而，几乎没有对这些项目对老年人的意义进行过实证研究。在回答有关在这些领域发挥作用的能力的问题时，个人使用什么参考资料？种族、诊断或身体缺陷如何影响个体对能力的主观评估？这些问题将在为期12个月的探索性研究中进行，该研究在一个主要由非裔美国人组成的辅助生活设施中进行。数据收集方法包括观察居民评估，然后与每位居民进行大声思考练习。我们会按正式评估所确定的受损程度（低、中及高），选取一个次样本，与居民进行深入访谈。研究成果将包括一组域，个人使用时，回答有关功能能力的问题。将对专业评估和个人评估进行比较。此外，还将确定基于种族和性别的功能能力观点。这项辅助生活设施的研究将为在其他长期环境中以及在其他种族和少数民族中进行老年评估的其他研究奠定基础。未来的研究将比较健康和服务成果的功能状态域确定通过这种定性研究。