Integrating a Performance-Based Observation Measure of Functional Status into a Population-Based Longitudinal Study of Aging

Finlayson, Marcia; Havens, Betty; Holm, Margo B.; Denend, Toni Van

doi:10.1017/s0714980800004505

Cited by 17 publications

(11 citation statements)

References 21 publications

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“…The relationship between self-report and performance measures has been studied in clinical populations. There have been few surveys that have included performance measures, and these largely focused on functional limitations (Guralnik et al, 1994) and less often on disabilities (Finlayson, Havens, Holm, & van Denend, 2003). In monitoring changes in disability levels from a population health perspective, surveys have almost exclusively used self-report as the method of measurement.…”

Section: Discussionmentioning

confidence: 99%

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

Coman¹,

Richardson²

2006

Can. J. Aging

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The 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.

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Section: Discussionmentioning

confidence: 99%

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

Coman¹,

Richardson²

2006

Can. J. Aging

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“…Several studies that directly compared questionnaire and performance-based methods of functional assessment found that these measures do not always correlate highly with each other, and further, they can provide different estimates of an individual’s ability to perform everyday activities (e.g., Burton, Strauss, Bunce, Hunter, & Hultsch, 2009; Finlayson, Havens, Holm, & Van Denend et al, 2003; Jefferson et al, 2008; Schmitter-Edgecombe et al, 2011; Tabert et al, 2002). For example, in a sample of cognitively healthy controls and individuals with MCI, Burton et al (2009) found low to moderate correlations (−.23 to .36) between a performance-based measure of functional abilities (i.e., Everyday Problems Test [EPT]; Willis & Marsiske, 1993) and several self- and informant-report measures.…”

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confidence: 99%

Cognitive Correlates of Functional Abilities in Individuals with Mild Cognitive Impairment: Comparison of Questionnaire, Direct Observation, and Performance-Based Measures

Schmitter‐Edgecombe

Parsey

2014

The Clinical Neuropsychologist

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The relationship between and the cognitive correlates of several proxy measures of functional status were studied in a population with mild cognitive impairment (MCI). Participants were 51 individuals diagnosed with MCI and 51 cognitively healthy older adults (OA). Participants completed performance-based functional status tests, standardized neuropsychological tests, and performed eight activities of daily living (e.g., watered plants, filled medication dispenser) while under direct observation in a campus apartment. An informant interview about everyday functioning was also conducted. Compared to the OA control group, the MCI group performed more poorly on all proxy measures of everyday functioning. The informant-report of instrumental activities of daily living (IADL) did not correlate with the two performance-based measures; however, both the informant-report IADL and the performance-based everyday problem-solving test correlated with the direct observation measure. After controlling for age and education, cognitive predictors did not explain a significant amount of variance in the performance-based measures; however, performance on a delayed memory task was a unique predictor for the informant-report IADL, and processing speed predicted unique variance for the direct observation score. These findings indicate that differing methods for evaluating functional status are not assessing completely overlapping aspects of everyday functioning in the MCI population.

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“…Clinical research with multiple populations: namely bipolar disorder, congestive heart failure, dementia, depression, heart transplant, macular degeneration, osteoarthritis, and cerebrovascular accident (CVA), has enabled similarities and differences in the task independence and safety of community dwelling adults to be characterized. To illustrate occupational performance capacity across these diagnostic groups, data were culled from clinical methodological study databases (N = 941) that included PASS data, several of which have been published (Finlayson et al 2003, Gildengers et al 2012, Raina et al 2007, Rogers et al 2010, Rogers et al 2001, Skidmore et al 2006. All subjects for whom data were collected provided written informed consent, as required by the University of Pittsburgh Institutional Review Board.…”

mentioning

confidence: 99%

Evaluating Capacity to Live Independently and Safely in the Community: Performance Assessment of Self-Care Skills

Chisholm

Toto

Raina

et al. 2014

British Journal of Occupational Therapy

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To determine clients’ capacity for community living, occupational therapists must use measures that capture the person–task–environment transaction and compare clients’ task performance to a performance standard. The Performance Assessment of Self-care Skills, a performance-based, criterion-referenced, observational tool, fulfills this purpose. In this practice analysis, using data from this tool from multiple clinical studies (N = 941), the authors describe tasks that clients from various diagnostic populations could and could not perform independently and safely. For clinicians, the Performance Assessment of Self-care Skills can be used to identify which daily tasks are compromised and the point of task breakdown, as well as to provide guidance about potential interventions.

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Integrating a Performance-Based Observation Measure of Functional Status into a Population-Based Longitudinal Study of Aging

Cited by 17 publications

References 21 publications

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

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

Cognitive Correlates of Functional Abilities in Individuals with Mild Cognitive Impairment: Comparison of Questionnaire, Direct Observation, and Performance-Based Measures

Evaluating Capacity to Live Independently and Safely in the Community: Performance Assessment of Self-Care Skills

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