Physical Functioning: Self-Report and Performance Measures Are Related but Distinct

Spine ◽  
2003 ◽  
Vol 28 (20) ◽  
pp. 2407-2413 ◽  
Author(s):  
Harriët Wittink ◽  
William Rogers ◽  
Andrew Sukiennik ◽  
Daniel B. Carr
2016 ◽  
Vol 11 (1) ◽  
pp. 46-57 ◽  
Author(s):  
Beth J Guildford ◽  
Clair M Jacobs ◽  
Aisling Daly-Eichenhardt ◽  
Whitney Scott ◽  
Lance M McCracken

Physical functioning is a recommended outcome domain for pain management programmes. It can be assessed by self-report and by direct assessment of performance. Although physical performance measures may provide unique and useful information about patient functioning over and above self-report measures, it is not entirely clear which of the many possible performances to assess. This study investigated a battery of three directly assessed physical performance measures and their relationship to three currently used self-report measures of general health and functioning. The three performance measures were sensitive to treatment; patients performed significantly better on all three measures following completion of the pain management programme. The three performance measures were shown to represent a single underlying dimension, and there was a significant degree of overlap between them. The performance measures were shown to be relevant in explaining variation in the self-report measures, as well as to offer a clinically relevant different dimension of assessment to self-report. Future research could focus on developing performance-based measures that capture quality of movement and that are sensitive to relevant processes of therapeutic change.


2006 ◽  
Vol 25 (3) ◽  
pp. 253-270 ◽  
Author(s):  
Liliana Coman ◽  
Julie Richardson

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.


2014 ◽  
Vol 94 (2) ◽  
pp. 251-261 ◽  
Author(s):  
Caroline B. Terwee ◽  
Charlotte Coopmans ◽  
Wilfred F. Peter ◽  
Leo D. Roorda ◽  
Rudolf W. Poolman ◽  
...  

Background Physical functioning of patients with hip or knee osteoarthritis is measured by self-report questionnaires and performance-based tests. However, performance-based tests often are not feasible. Objective The aim of this study was to develop a computer-administered questionnaire (ie, the Animated Activity Questionnaire [AAQ]) to measure physical functioning in patients with hip or knee OA. By showing animations of activities, the influence of the patient's own reference frame is minimized. The AAQ measures the same aspects of physical functioning as performance-based tests do. Design This was a development and preliminary validation (cross-sectional) study. Methods A pilot version of the AAQ was developed using motion capture to analyze the movement of a person performing 7 daily activities. Different animations of the same activity were made with 2 to 5 levels of difficulty. For each activity, participants were asked to choose one animation that best corresponds to their own way of performing the activity. A preliminary validation study was performed to compare the AAQ with validated self-report questionnaires (Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, and questionnaires on walking, stair climbing, and rising and sitting down) and performance-based tests (walking, Timed “Up & Go” Test, Timed Stair Test) in 33 patients with hip or knee osteoarthritis. Results As expected, the AAQ showed a correlation above .70 (.79, 95% confidence interval=.61–.89) with the total score of the performance-based tests. On the subscore level, the results were partly as expected. Fifty-eight percent of the participants preferred the AAQ over self-report questionnaires and performance-based tests. Limitations The findings need to be replicated in larger samples of patients because the sample size of the study was rather small. Conclusion The AAQ might be a good alternative for measuring physical functioning of patients with hip or knee osteoarthritis. The AAQ can easily be adapted for use in other patient populations. However, further development and validation are needed.


2010 ◽  
Vol 90 (9) ◽  
pp. 1288-1296 ◽  
Author(s):  
Paul W. Stratford ◽  
Deborah M. Kennedy ◽  
Monica R. Maly ◽  
Norma J. MacIntyre

Background Self-reports of function may systematically overestimate the ability of patients to move around postarthroplasty. Objective The purpose of this study was to estimate the magnitude of systematic differences in Lower Extremity Functional Scale (LEFS) and Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale (WOMAC-PF) scores before and after primary total knee arthroplasty (TKA) or total hip arthroplasty (THA) by referencing the values to Six-Minute Walk Test (6MWT) distances and Timed “Up & Go” Test (TUG) times. Design This study was a secondary analysis of data from a prospective cohort study. Methods The LEFS, WOMAC, 6MWT, and TUG were administered to 85 patients prearthroplasty and once at 9 to 13 weeks postarthroplasty. Regression analysis was applied using a robust error term for clustered data. With the self-report measures as dependent variables and performance measures, occasion (prearthroplasty or postarthroplasty), and performance measure-by-occasion as independent variables, 3 propositions were examined: (1) the relationship between self-report and performance measures is identical prearthroplasty and postarthroplasty (ie, regression lines are coincident); (2) the relationship differs between occasions, but is consistent (ie, regression lines are parallel); (3) the relationship is not consistent (ie, the regression lines are not parallel). Results For all analyses, the results supported the second proposition (ie, the relationship differed between occasions, but was consistent). The systematic differences varied by location of arthroplasty, but were similar for both performance tests. For the LEFS, the difference was approximately 11 points for patients who received TKA and 13 points for patients who received THA. For the WOMAC-PF, the difference was approximately 12 points for patients who received TKA and 19 points for patients who received THA. These differences exceed the minimal clinically important change for an individual patient. Limitations The findings are specific to 9 to 13 weeks postarthroplasty. Conclusion Dependence on scores of self-report measures alone, without knowledge of the magnitude of the identified systematic differences, will result in overestimating the ability of patients to move around postarthroplasty.


2008 ◽  
Vol 88 (6) ◽  
pp. 712-719 ◽  
Author(s):  
Inge van den Akker-Scheek ◽  
Wiebren Zijlstra ◽  
Johan W Groothoff ◽  
Sjoerd K Bulstra ◽  
Martin Stevens

Background and Purpose Self-report and performance-based measures of physical functioning in people before and after total hip arthroplasty seem to present different information. The relationship between these different measures is not well understood, and little information is available about changes in this relationship over time. The aims of this study were: (1) to determine the relationship between self-report and performance-based measures of physical functioning before and after total hip arthroplasty, (2) to assess the influence of pain on the relationship, and (3) to determine whether the relationship changes over time. Subjects and Methods Seventy-five subjects admitted for total hip arthroplasty were included and examined before and 6 and 26 weeks after surgery. The relationships between the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical functioning subscale and walking speed and gait variability were examined by use of generalized estimating equations, which included interactions with time and the WOMAC pain subscale. Results The relationship between self-report and performance-based measures of physical functioning was poor. Pain appeared to have a considerable influence on self-reported physical functioning. The relationship did not appear to change over time. Discussion and Conclusion The influence of pain on self-reported physical functioning serves as an explanation for the poor relationship between self-reported and performance-based physical functioning. When using a self-report measure such as the WOMAC, one should realize that it does not seem to assess the separate constructs—physical functioning and pain—that are claimed to be measured.


1977 ◽  
Vol 45 (2) ◽  
pp. 409-410 ◽  
Author(s):  
Robert G. Turner ◽  
Lunell Gilliland

The attentional scales of the Test of Attentional and Interpersonal Style were correlated with performance measures of attention, the Digit Span and Block Design subtests of the WAIS. Of the 24 correlations computed only one was statistically significant. The need for the construct validity of these scales to be established against some behavioral measure of attentional focus was emphasized.


Work & Stress ◽  
1995 ◽  
Vol 9 (2-3) ◽  
pp. 187-197 ◽  
Author(s):  
Peter Totterdell ◽  
Evelien Spelten ◽  
Jane Barton ◽  
Lawrence Smith ◽  
Simon Folkard

2016 ◽  
Vol 37 (2) ◽  
pp. 112-118 ◽  
Author(s):  
Emanuel Jauk ◽  
H. Harald Freudenthaler ◽  
Aljoscha C. Neubauer

Abstract. A growing body of studies investigates emotional intelligence (EI) in relation to the Dark Triad (DT) personality traits. DT traits seem to be generally associated with lower EI, but findings are still inconsistent, especially with respect to narcissism. The vast majority of studies investigating EI correlates of DT traits relied on self-report measures in terms of trait EI. Currently, there are only sparse reports of relationships between DT traits, trait EI, and performance measures of ability EI. Thus, we investigated the relationships between these constructs in a sample of N = 540 individuals. We performed analyses separately for both sexes as recent research indicates that correlations might differ between women and men. Results showed that in women, reduced trait and ability EI are linked to psychopathy, but not the other DT traits. In men, the pattern of results was more complex: Narcissism was primarily related to lower ability EI, whereas psychopathy was primarily associated with lower trait EI. Machiavellianism was related to higher levels of trait EI in men. These findings suggest that among the DT traits, psychopathy goes along with reduced EI in women, whereas in men narcissism is associated with lower ability EI.


1980 ◽  
Vol 46 (3_suppl) ◽  
pp. 1287-1296 ◽  
Author(s):  
Billy A. Barrios ◽  
Earl J. Ginter ◽  
Joseph J. Scalise ◽  
Francis G. Miller

Several procedures have been used to produce relaxation and thus reduce test anxiety. The purpose of this study was to compare three types of treatment of test anxiety: applied relaxation, cognitive cue-controlled relaxation, and conditioned cue-controlled relaxation. Also, cognitive and conditioning explanations for the two cue-controlled treatments were explored Subjects were female undergraduates ( N = 18) scoring in the upper 15% of the distribution of 1,055 students completing the Suinn Test Anxiety Behavior Scale. Pre- and post-treatment scores on several self-report and performance measures of anxiety were used to evaluate the efficiency of each technique. Most statistically significant changes were obtained in the applied relaxation group. No significant differences were found between the two cue-controlled procedures used in the study. Recommendations concerning future investigations are discussed; specific procedural modifications for future studies are outlined.


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