Back to - - > Measurement matrix
Table
1: Studies comparing self-report and
performance based measures of physical function
|
Study |
Self-Report
Measures |
Performance
Based Measure |
Results |
|
Cress,
Schechtman, Mulrow, Fiatarone, Gerety, and Buchner.
1995 |
--Summary
score ranging from 0-100 on SIP sickness impact profile |
--Gait
speed; chair-stand time; maximal grip strength, and balance score |
--Self perceived gait speed is a global indicator of perceived physical function; gait speed is the best predictor of self-perceived function |
|
Greiner,
|
--Is
your ability to take care of yourself excellent, very good, good, fair or
poor? |
--Performance
on 6 Katz ADL's |
--Self-rated
function has a stronger relationship to functional ability and decline
than self-rated health;. self-rated function may be a better marker of
global function than self-rated health. |
|
Guralnick, Simonsick, Ferrucci, Glenn, Berkman, Blazer, Scherr, and Wallace, 1994 |
--Lower
body ADL trouble (yes/no) |
--Summary
performance scale based on balance, timed tandem, semi-tandem, and side-by-side stands, walking speed, chair stand |
--There
is a strong association b/w performance measures of lower extremity
function and self-reported disability but performance measures contribute
more information than self-report; discordance was found for walking
assessments |
|
Hoeymans,
Feskens, Kromhout, and Van Den Bos, 1997 |
--Hierarchical disability scales based on IADLs, BADLs and mobility items measures four categories: not disabled, disabled in IADL only, disabled in mobility and IADL and disabled in BADL, mobility and IADLs |
--Standing balance, walking speed, chair stand and external shoulder rotation |
--Men w/IADL disabilities had no different health ratings than men w/o disabilities; Functional limitations have a small but sig. effect on self-rated health when disabilities are accounted for |
|
Kelly-Hayes,
Jette, Wolf, D'Agostino, and Odell. 1992 |
--6
Katz ADL items; uses 4 categories of ability to perform for each measure |
--Same
Katz ADL items measured in previous column |
--Persons
w/restrictions rarely rate disability below their functional limitations;
self-reports do not underestimate level of disability |
|
Kempen,
Gertrudis, Steverink, Ormel and Deeg. 1996 |
--11
Self-Report ADL Items form subscale ranging from 11-44 w/4 response
categories: yes, I can do it
(1) w/o difficulty, (2) w/some difficulty, (3)w/great difficulty, (4) only
with someones
help |
--Putting
on & taking off jacket, walking, and standing up from chair and
sitting 5 times without arms |
--Relationship
between self-report and performance-based measures of ADL is not strong;
subjects w/low levels of perceived physical competence & mastery and
higher levels of depressive symptoms report lower levels of ADL ability
compared to their performance-based ADL |
|
Langlois, Maggi, Harris, Simonsick, Ferrucci, Pavan, Sartori, and Enzi, 1996 |
--5
Katz ADLs
; Rosow-Breslau
index; 5 IADL's are used to
generate 4 categories of disabilitynone,
mild, moderate, and strong |
--Standing
from chair, returning to seated position, side-by-side stands; standing
with eyes closed; walking; picking up pencil, raising hands above head,
external shoulder rotation |
--Self
reported disability identifies older persons with physical disability not
determined by self-report of need for help |
|
Myers,
Holliday, Harvey, and Hutchinsons. 1993 |
--14
IADLs |
--14
IADLs
l in the previous column |
--Performance
measures are not superior or preferred by respondents |
|
Reuben,
Valle, Hays, and Siu. 1995 |
--OARS
scale measuring IADL function, Katz ADLs;
Scores for both are
reported as two sums of the number of items performed independently; FSQ
containing BADL's and IADLs,
scores range from 0-100 |
--Physical
Performance Test (PPT) including ability to write, eat, lift a book, put
on jacket, pick up penny, turn 360 degrees and walk |
--Relationship
between self-administered, interview administered and performance-based
measures are weak; instruments probably measure different constructs |
|
Reuben,
Siu, and Kimpau. 1992 |
--Katz,
Spector, and Rosow-Breslau scale |
--Tinetti
Gait scores and PPT |
--Both
performance based and self-report measures of functional ability are
independent predictors of mortality |
|
Rozzini,
Frisoni, Bainchetti, Zanetti and Trabucchi.
1993 |
--BADL
(Katz scale and |
--7
item version of the PPT |
--Chronic
disease affects functional status in a way insensitive to BADL and IADL
measures. Performance-based measures, capture impairment before functional
loss emerges |
|
Sager,
Dunham, Schwantes, Mecum,
Halverson and Harlowe. 1992 |
--Modified
Katz ADL scale measuring number of reported problems 0-5 |
--Modified
Katz ADL items in previous column |
--There
are significant differences in patients assessment and performance based
measurement of ADL function in hospitalized elderly |
|
Sinoff
and |
--10
item Barthel Index ADL scale ranging from 0-100 |
--Same
10 item Barthel Index in previous column |
--Self-report
scores are more optimistic that performance based measures; self-assessed
ADLs may have limitations in diagnosing the old-old |
Table
2: Mexican American Elderly
Individuals
Ability to Complete Timed Walk by Their Self-reported Mobility[1]
|
|
|
Self-reported
Mobility
(can walk across a small room) |
|||
| Can | Cannot | Missing | Total n | ||
| Total % | |||||
Completed
Walk
|
2385
98.14% |
45
1.85% |
5
.01% |
2435
100% |
|
|
Timed Walk |
Could not Complete Walk |
183 63.10% |
36.89% |
.01% |
100% |
|
|
Missing |
218 67.70% |
100 31.06% |
1.24% |
322 100% |
[2]
Data come from the Longitudinal Study of Mexican American Elderly Health, Phase
1 (the Hispanic HEPESE)