Self-Reported Mobility and Instrumental Activities of Daily Living: Test–Retest Reliability and Criterion Validity

2012 ◽  
Vol 20 (2) ◽  
pp. 186-197 ◽  
Author(s):  
Ching-Yi Wang ◽  
Ming-Hsia Hu ◽  
Hui-Ya Chen ◽  
Ren-Hau Li

To determine the test–retest reliability and criterion validity of self-reported function in mobility and instrumental activities of daily living (IADL) in older adults, a convenience sample of 70 subjects (72.9 ± 6.6 yr, 34 male) was split into able and disabled groups based on baseline assessment and into consistently able, consistently disabled, and inconsistent based on repeat assessments over 2 weeks. The criterion validities of the self-reported measures of mobility domain and IADL-physical subdomain were assessed with concurrent baseline measures of 4 mobility performances, and that of the self-reported measure of IADL-cognitive subdomain, with the Mini-Mental State Examination. Test–retest reliability was moderate for the mobility, IADL-physical, and IADL-cognitive subdomains (κ = .51–.66). Those who reported being able at baseline also performed better on physical- and cognitive-performance tests. Those with variable performance between test occasions tended to report inconsistently on repeat measures in mobility and IADL-cognitive, suggesting fluctuations in physical and cognitive performance.

2020 ◽  
pp. 153944922096107
Author(s):  
Ecem Karanfil ◽  
Yeliz Salcı ◽  
Ayla Fil-Balkan ◽  
Can Ebru Bekircan-Kurt ◽  
Sevim Erdem Özdamar ◽  
...  

Linguistic, reliable, and valid secondary efficacy measures are important in clinical settings and studies. The aim of the study is to report test–retest reliability and construct validity of Turkish version of Myasthenia Gravis-Activities of Daily Living Scale (MG-ADL-T) in Myasthenia Gravis (MG) patients. Fifty-two ocular and generalized individuals with MG, applying to rehabilitation center, were included in the study. MG-ADL-T, MG quality-of-life questionnaire (MG-QoL), MG composite (MGC), quantitative MG score (QMGS), and pulmonary function test were administered. Reliability was assessed with intraclass correlation coefficient (ICC) and Cronbach’s alpha. Spearman correlation test and receiver operating characteristic (ROC) analysis were performed for construct validity. MG-ADL-T had fair internal consistency (Cronbach’s α = .67), excellent test–retest reliability (ICC = 0.96) and moderate construct validity (MG-QoL, r = 0.59; QMGS, r = .58; MGC, r = .68). MG-ADL, a unique scale that evaluates activities of daily living (ADL), has good test–retest reliability and construct validity in Turkish MG patients.


1998 ◽  
Vol 61 (3) ◽  
pp. 127-132 ◽  
Author(s):  
Lori Letts ◽  
Sheri Scott ◽  
Jill Burtney ◽  
Linda Marshall ◽  
Martha McKean

The Safety Assessment of Function and the Environment for Rehabilitation (SAFER Too)) was developed to assess people's abilities to manage functional activities safety within their homes. The results of a study to evaluate the instruments inter-rater and test-retest reliability and construct validity are reported. Reliability was evaluated using kappa for each dichotomous item. For inter-rater reliability, 59 of 66 items had acceptable reliability. For test-retest reliability, 63 of 70 items had acceptable kappa scores. For items where kappa could not be calculated because of limited variation between raters, percentage agreement was over 80%. For validity, higher SAFER Tool scores (that is, more safety problems) were hypothesised to be associated with less independence in activities of daily living (ADL) and instrumental activities of daily living (IADL) and more cognitive impairment. The correlation between SAFER Tool scores and cognitive impairment supported this hypothesis. The results of the correlations with ADL and IADL scores were less clear. This could be attributed to caregivers' assistance with activities which might have reduced risk, and generally limited variation in ADL scores. The reliability results from this study are positive. Further research to assure the SAFER Tools validity and predictive ability are needed.


2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Fernanda Rodrigues Fonseca ◽  
Roberta Rodolfo Mazzali Biscaro ◽  
Alexânia de Rê ◽  
Maíra Junkes-Cunha ◽  
Cardine Martins dos Reis ◽  
...  

ABSTRACT Objective: To test the construct validity, reliability, and measurement error of the Brazilian Portuguese-language version of the Manchester Respiratory Activities of Daily Living (MRADL) questionnaire in patients with COPD. Methods: We evaluated 50 patients with COPD, among whom 30 were men, the mean age was 64 ± 8 years, and the median FEV1 as a percentage of the predicted value (FEV1%predicted) was 38.4% (interquartile range, 29.1-57.4%). Pulmonary function and limitations in activities of daily living (ADLs) were assessed by spirometry and by face-to-face application of the MRADL, respectively. For the construct validity analysis, we tested the hypothesis that the total MRADL score would show moderate correlations with spirometric parameters. We analyzed inter-rater reliability, test-retest reliability, inter-rater measurement error, and test-retest measurement error. Results: The total MRADL score showed moderate correlations with the FEV1/FVC ratio, FEV1 in liters, FEV1%predicted, and FVC%predicted, all of the correlations being statistically significant (r = 0.34, r = 0.31, r = 0.42, and r = 0.38, respectively; p < 0.05 for all). For the reliability and measurement error of the total MRADL score, we obtained the following inter-rater and test-retest values, respectively: two-way mixed-effects model intraclass correlation coefficient for single measures, 0.92 (95% CI: 0.87-0.96) and 0.89 (95% CI: 0.81-0.93); agreement standard error of measurement, 1.03 and 0.97; smallest detectable change at the individual level, 2.86 and 2.69; smallest detectable change at the group level, 0.40 and 0.38; and limits of agreement, −2.24 to 1.96 and −2.65 to 2.69. Conclusions: In patients with COPD in Brazil, this version of the MRADL shows satisfactory construct validity, satisfactory inter-rater/test-retest reliability, and indeterminate inter-rater/test-retest measurement error.


2007 ◽  
Vol 87 (9) ◽  
pp. 1155-1163 ◽  
Author(s):  
Mia Conradsson ◽  
Lillemor Lundin-Olsson ◽  
Nina Lindelöf ◽  
Håkan Littbrand ◽  
Lisa Malmqvist ◽  
...  

Background and Purpose: The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities.Subjects: The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68–96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4–30).Methods: The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC).Results: The mean score was 30.1 points (SD=15.9, range=3–53) for the first BBS test and 30.6 points (SD=15.6, range=4–54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0–11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97.Discussion and Conclusion: Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.


2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Lisna Anisa Fitriana ◽  
Nazhifa Ufamy ◽  
Kusnandar Anggadiredja ◽  
Setiawan Setiawan ◽  
I Ketut Adnyana

ABSTRAKPenurunan daya ingat dan ketidakmampuan dalam melakukan aktivitas sehari-hari menjadi salah satu alasan lansia dikirim ke panti wredha. Adapun tujuan penelitian ini untuk mengetahui hubungan faktor demografi dan demensia dengan kemandirian lansia dalam memenuhi aktivitas dasar dan instrumental di panti wredha. Desain penelitian ini adalah cross sectional. Alat pengumpulan data menggunakan kuisioner BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), dan MMSE (Mini Mental State Examination). Sampel penelitian berjumlah 166 lansia berusia > 60 tahun yang tinggal di 3 panti wredha Bandung dan Garut. Analisa data menggunakan uji independent sample t-test. Hasil penelitian menunjukkan lansia yang ada di panti wredha 65,1% mandiri dalam BADL dan 51,8% mandiri dalam IADL, 109 orang (65,7%) mengalami demensia, 118 orang (71,1%) adalah wanita, 142 orang (85,5%) berpendidikan rendah, dan 153 orang (92,2%) tidak menikah. Analisis menunjukkan terdapat hubungan yang signifikan antara kemandirian (BADL dan IADL) dengan pendidikan, status marital, dan demensia pada lansia di panti wredha (p<0,05). Upaya yang komprehensif perlu dilakukan untuk meningkatkan kemandirian lansia khususnya yang ada di panti wredha. ABSTRACT Cognitive impairment and inability to do activities of daily living being the reasons for elderly to transferring in the nursing homes. The purpose of this study was to determine association of demographic factors and dementia with the independence of the elderly to fulfill basic and instrumental activities in nursing homes. The design of this study was cross-sectional. Data collection tools using BADL (Basic Activities of Daily Living), IADL (Instrumental Activities of Daily Living), and MMSE (Mini Mental State Examination) questionnaires. The research sample of 166 elderly aged > 60 years who live in 3 nursing homes in Bandung and Garut. Data analysis uses an independent sample t-test. The results showed that the elderly in nursing homes 65.1% were independent in BADL and 51.8% were independent in IADL, 109 people (65.7%) suffered dementia, 118 people (71.1%) were women, 142 people (85.5% ) have low education, and 153 people (92.2%) are not married. The analysis showed that there was a significant relationship between BADL and IADL with education, marital status, and dementia in the elderly in nursing homes (p <0.05). Comprehensive treatment needs to improve the independence of the elderly especially in nursing homes.


2007 ◽  
Vol 104 (3) ◽  
pp. 958-960 ◽  
Author(s):  
Ioulia Theotoka ◽  
Elisabeth Kapaki ◽  
Vasileios Vagenas ◽  
Ioannis Ilias ◽  
George P. Paraskevas ◽  
...  

To validate the Instrumental Activities of Daily Living in Greek, 44 men ( M age = 70.5 yr., SD = 7.2) and 58 women ( M age = 68.4, SD = 9.2), outpatients of memory clinics, were studied. Sex differences in the item responses were evaluated. Reliability assessed as Cronbach alpha was .84, while validity was assessed by correlation of .77 with the Mini-Mental State Examination. 21 men and 20 women had moderate to severe dementia, with Mini-Mental State Examination scores < 20. The results show that this Greek language version can be effectively used in Greece.


2020 ◽  
Vol 29 (7) ◽  
pp. 1038-1041
Author(s):  
Christopher J. Burcal ◽  
Sunghoon Chung ◽  
Madison L. Johnston ◽  
Adam B. Rosen

Background: Region-specific patient-reported outcomes (PROs) are commonly used in rehabilitation medicine. Digital versions of PROs may be implemented into electronic medical records and are also commonly used in research, but the validity of this method of administration (MOA) must be established. Purpose: To determine the agreement between and compare the test–retest reliability of a paper version (FAAM-P) and digital version (FAAM-D) of the Foot and Ankle Ability Measure (FAAM). Study Design: Randomized, nonblinded, crossover observational study. Methods: A total of 90 adults were randomized to complete the FAAM-P or FAAM-D first, and then completed the second MOA (first day [D1]). The FAAM-D was a digital adaptation of both FAAM-P subscales on Qualtrics. Identical test procedures were completed 1 week later (D2). Data were removed if a participant scored 100% on both MOA, reported injury between D1 and D2, or did not complete both MOA. Agreement was assessed on 46 participants between the 2 MOA using intraclass correlation coefficients (ICC) at D1. There was good-to-excellent test–retest reliability for the FAAM activities of daily living. Results: The authors observed good agreement between the FAAM-P and FAAM-D for the activities of daily living (ICC = .88) and sport scales (ICC = .87). Test–retest reliability was good-to-excellent for the FAAM activities of daily living (FAAM-P: ICC = .87; FAAM-D: ICC = .89) and sport (FAAM-P: ICC = .71; FAAM-D: ICC = .91). Conclusions: The MOA does not appear to affect the responses on the FAAM; however, the authors observed slightly higher reliability on the FAAM-D. The FAAM-D is sufficient to be used for generating practice-based evidence in rehabilitation medicine.


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