Relationship between Self-Report and Performance Measures of Function: A Systematic Review

2006 ◽  
Vol 25 (3) ◽  
pp. 253-270 ◽  
Author(s):  
Liliana Coman ◽  
Julie Richardson
Keyword(s):  
Systematic Review ◽  
Performance Measures ◽  
Functional Limitations ◽  
Community Dwelling ◽  
Self Report ◽  
Inclusion Criteria ◽  
And Performance ◽  
Community Dwelling Older Adults ◽  
Similar Assessment

ABSTRACTThe authors conducted a systematic review of studies examining correlations between assessments of function obtained using self-report and those obtained using performance-based measures for community-dwelling older adults.METHODSArticles for this review were identified using electronic searching in MEDLINE, CINHAL, and AGELINE and hand-searching techniques. Two reviewers selected the studies that met the inclusion criteria, extracted the data, and assessed the methodological quality of the data.RESULTSSeventeen studies met the inclusion criteria for review. Correlations between self-report and performance ranged from −0.72 to 0.60. Sixty per cent of the studies compared self-report instruments measuring disability with performance measures addressing functional limitations. In studies that assessed the same functional tasks and functional limitations using the two methods, the correlation varied between 0.60 and 0.86.CONCLUSIONWhen the construct measured by the two methods was the same, the correlations were moderate to large and, therefore, measurement of functional limitations by self-report or performance probably reflected a similar assessment of function.

scholarly journals The Modified Gait Efficacy Scale: Establishing the Psychometric Properties in Older Adults

2012 ◽  
Vol 92 (2) ◽  
pp. 318-328 ◽  
Author(s):  
Alaina M. Newell ◽  
Jessie M. VanSwearingen ◽  
Elizabeth Hile ◽  
Jennifer S. Brach
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Intraclass Correlation ◽  
Community Dwelling ◽  
Self Report ◽  
Retest Reliability ◽  
And Performance ◽  
Test Retest Reliability ◽  
Community Dwelling Older Adults

BackgroundPerceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances.ObjectiveThe purpose of this study was to determine the reliability, internal consistency, and validity of the mGES as a measure of gait in older adults.DesignThis was a cross-sectional study.MethodsParticipants were 102 community-dwelling older adults (mean [±SD] age=78.6±6.1 years) who were independent in ambulation with or without an assistive device. Participants were assessed using the mGES and measures of confidence and fear, measures of function and disability, and performance-based measures of mobility. In a subsample (n=26), the mGES was administered twice within a 1-month period to establish test-retest reliability through the intraclass correlation coefficient (ICC [2,1]). The standard error of measure (SEM) was determined from the ICC and standard deviation. The Cronbach α value was calculated to determine internal consistency. To establish the validity of the mGES, the Spearman rank order correlation coefficient was used to examine the association with measures of confidence, fear, gait, and physical function and disability.ResultsThe mGES demonstrated test-retest reliability within the 1-month period (ICC=.93, 95% confidence interval=.85, .97). The SEM of the mGES was 5.23. The mGES was internally consistent across the 10 items (Cronbach α=.94). The mGES was related to measures of confidence and fear (r=.54–.88), function and disability (Late-Life Function and Disability Instrument, r=.32–.88), and performance-based mobility (r=.38–.64).LimitationsThis study examined only community-dwelling older adults. The results, therefore, should not be generalized to other patient populations.ConclusionThe mGES is a reliable and valid measure of confidence in walking among community-dwelling older adults.

scholarly journals Burnout syndrome in informal caregivers of older adults with dementia: A systematic review

2019 ◽  
Vol 13 (4) ◽  
pp. 415-421 ◽  
Author(s):  
Ludmyla Caroline de Souza Alves ◽  
Diana Quirino Monteiro ◽  
Sirlei Ricarte Bento ◽  
Vânia Diniz Hayashi ◽  
Lucas Nogueira de Carvalho Pelegrini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Informal Caregivers ◽  
Community Dwelling ◽  
Burnout Syndrome ◽  
Main Theme ◽  
The Public ◽  
Abusive Behavior ◽  
Community Dwelling Older Adults

ABSTRACT Dementia is a constant concern for the public health system. Also, it impacts family members who provide informal care, often culminating in overload due to the emotional stress and physical distress of caregivers. Objective: This systematic review aimed to identify the consequences of Burnout Syndrome in informal caregivers of older adults with dementia. Methods: The search was performed spanning the last 10 years, in English, Portuguese or Spanish. The databases used were PubMed, SciELO, Web of Science and LILACS. The descriptors were obtained from MeSH and DeCS, which were, “caregivers”, “burnout”, “aged”, “psychological stress” and “dementia”. The selected articles included studies conducted with informal caregivers of community-dwelling older adults diagnosed with any type of dementia. The excluded articles had the following characteristics: the participants were not informal caregivers, the older adults were not diagnosed with dementia, or the main theme was not related to the Burnout Syndrome. Results: Initially, 1,208 articles were found. One hundred and forty-six were eliminated because they were duplicates. A further 1,033 were excluded because they did not meet the inclusion criteria. Twenty-nine studies were selected for full reading and 22 were excluded, giving 7 studies for inclusion in this review. Conclusion: The results showed that the Burnout Syndrome negatively affected caregivers’ quality of life and was associated with patient depressive and anxious symptoms and abusive behavior by caregiver. There is a need for studies with interventions addressing this issue.

scholarly journals MOBILITY IN COMMUNITY DWELLING OLDER ADULTS: PREDICTING SUCCESSFUL MOBILITY USING AN INSTRUMENTED BATTERY OF NOVEL MEASURES

2019 ◽  
pp. 1-6
Author(s):  
L. McInnes ◽  
E. Jones ◽  
L. Rochester ◽  
S. Lord ◽  
S.F.M. Chastin ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Dwelling ◽  
Self Report ◽  
Social Variables ◽  
Outdoor Activity ◽  
Younger Adults ◽  
Total Distance ◽  
Time Out ◽  
Community Dwelling Older Adults

Mobility in older adults is associated with better quality of life. However, evidence suggests that older people spend less time out-of-home than younger adults. Traditional methods for assessing mobility have serious limitations. Wearable technologies provide the possibility of objectively assessing mobility over extended periods enabling better estimates of levels of mobility to be made and possible predictors to be explored. Eighty-six community dwelling older adults (mean age 79.8 years) had their mobility assessed for one week using GPS, accelerometry and self-report. Outcomes were: number of steps, time spent in dynamic outdoor activity, total distance travelled and total number of journeys made over the week. Assessments were also made of personal, cognitive, psychological, physical and social variables. Four regression models were calculated (one for each outcome). The models predicted 32 to 43% of the variance in levels of mobility. The ability to balance on one leg significantly predicted all four outcomes. In addition, cognitive ability predicted number of journeys made per week and time spent engaged in dynamic outdoor activity, and age significantly predicted total distance travelled. Overall estimates of mobility indicated step counts that were similar to those shown by previous research but distances travelled, measured by GPS, were lower. These findings suggest that mobility in this sample of older adults is predicted by the ability to balance on one leg. Possible interventions to improve out-of-home mobility could target balance. The fact that participants travelled shorter distances than those reported in previous studies is interesting since this high-functioning subgroup would be expected to demonstrate the highest levels.

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