Ph.II: Innovative Methods for Function and Disability Assessment

第二阶段：功能和残疾评估的创新方法

• 批准号: 7672233
• 负责人: ALAN Maurice JETTE
• 金额: $ 43.83万
• 依托单位: CRECARE, LLC
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-01-15 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7672233
• 关键词: Activities of Daily Living; Calibration; Clinical Research; Cognitive; Communities; Computers; Conflict (Psychology); Data; Data Analyses; Data Collection; Dependence; Dependency; Disabled Persons; Elderly; Evaluation; Feedback; Focus Groups; Gerontology; Hospitals; Human; Internet; Knowledge; Measurement; Measures; Methods; Monitor; Nursing Homes; Outcome; Outcome Assessment; Outcome Measure; Patient Self-Report; Phase; Physical Function; Physicians; Psychometrics; Public Health; Reporting; Research; Respondent; Role; Sampling; Seminal; Services; Small Business Technology Transfer Research; System; Technology; Testing; Validity and Reliability; Work; age group; base; clinical application; clinical practice; design; disability; improved; innovation; instrument; instrumental activity of daily living; mortality; public health relevance; public health research; research study; response; simulation

DESCRIPTION (provided by applicant): We propose applying innovative measurement technology to develop and disseminate a comprehensive function and disability assessment instrument for use in gerontological research and practice. This technology offers an effective method to resolve the classic conflict between practicality and psychometric adequacy faced by traditional standardized outcome measurement technology. In this project we propose to develop, critically evaluate, and disseminate a Computer-Adapted Testing (CAT) instrument for the Late-Life Function and Disability Instrument (LATE-LIFE FDI-CAT), a promising outcome instrument designed to comprehensively assess and monitor changes in function and disability in older adults. To our knowledge this has never been done before in the field of gerontology and represents an innovative approach to improving outcome assessment for use with older persons. The principal aims of Phase I of this project are to: 1) Expand the original LATE-LIFE FDI item bank in the domains of Physical Function and Disability to incorporate additional functional and social role tasks appropriate for older adults; evaluate new items through expert feedback, cognitive testing and focus groups. 2) Develop final item calibrations for the revised Late-Life FDI item banks by collecting responses from a diverse sample of 500 older adults with functional limitations and disabilities. 3) Create a fully operational LATE-LIFE FDI-CAT system and demonstrate the accuracy, precision, and reductions in respondent burden of the LATE-LIFE FDI- CAT through real data simulation studies. And finally, 4) Evaluate the validity, reliability, and acceptance of the Late-Life FDI CAT in a sample of 100 older adults. The product of this Phase 2 STTR project will be a marketable CAT system for the assessment of function and disability for use in gerontological research and clinical practice. Adapted from the fixed-form, Late-Life FDI, this new function and disability outcome instrument will fill a critical void for a practical yet highly sensitive assessment instrument tailored for accurate and precise assessment of physical function and disability in older adults. PUBLIC HEALTH RELEVANCE: Outcome measures for older adults are becoming increasingly important and represent a major public health concern. This proposed project responds to the need for improved data collection, data analysis and data dissemination methods that can be used in clinical applications and public health research. The product of this STTR project will be a marketable CAT system for the assessment of function disability in older adults. Adapted from the fixed form Late-Life FDI, this new disability assessment will fill a critical void for a practical yet highly sensitive assessment system tailored for accurate and precise self-reported assessment of physical function and disability.

描述（由申请人提供）：我们建议应用创新的测量技术，开发和传播一个全面的功能和残疾评估工具，用于老年学研究和实践。该技术提供了一种有效的方法来解决传统标准化结果测量技术所面临的实用性和心理测量充分性之间的经典冲突。在这个项目中，我们建议开发，批判性地评估，并传播一个计算机适应性测试（CAT）工具的晚年功能和残疾工具（LATE-LIFE FDI-CAT），一个有前途的结果工具，旨在全面评估和监测功能和残疾的变化在老年人。据我们所知，这在老年学领域以前从未做过，是改进用于老年人的结果评估的一种创新办法。该项目第一阶段的主要目标是：1）在身体功能和残疾领域扩大原有的晚年外国直接投资项目库，以纳入适合老年人的额外功能和社会角色任务;通过专家反馈、认知测试和焦点小组评估新项目。2)通过收集500名功能限制和残疾的老年人的不同样本的响应，为修订后的晚年外国直接投资项目库开发最终项目校准。3)建立一个全面运作的"寿命后期外国直接投资-计算机辅助测试"系统，并通过真实的数据模拟研究，证明"寿命后期外国直接投资-计算机辅助测试"的准确性和精确性，以及对答复者负担的减轻。最后，4）在100名老年人的样本中评估晚年FDI CAT的有效性，可靠性和可接受性。第二阶段STTR项目的产品将是一个可销售的CAT系统，用于评估老年学研究和临床实践中的功能和残疾。这一新的功能和残疾结果工具改编自固定形式的老年FDI，将填补一个关键的空白，即为准确和精确评估老年人的身体功能和残疾而量身定制的实用但高度敏感的评估工具。公共卫生相关性：老年人的结局指标变得越来越重要，并代表了一个主要的公共卫生问题。本拟议项目是为了满足改进数据收集、数据分析和数据传播方法的需要，这些方法可用于临床应用和公共卫生研究。该STTR项目的产品将是一个可销售的CAT系统，用于评估老年人的功能残疾。这种新的残疾评估是根据固定形式的晚年外国直接投资改编的，它将填补一个关键的空白，即建立一个实用而高度敏感的评估系统，专门用于准确和精确的身体功能和残疾自我报告评估。