scholarly journals Assessing physical functioning on pain management programmes: the unique contribution of directly assessed physical performance measures and their relationship to self-reports

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.

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Michiyo Tomioka ◽  
Kathryn L. Braun ◽  
Yan Yan Wu ◽  
Kay Holt ◽  
Paula Keele ◽  
...  

Introduction. Enhance®Fitness is a low-cost group exercise program designed specifically for older adults (60+ years) to improve physical performance. The Hawai‘i Healthy Aging Partnership, a statewide health promotion initiative, has continuously offered Enhance®Fitness to Hawai‘i’s multicultural population since 2007. This study examined 12-month participation in and impact of Enhance®Fitness on physical performance among older adults in Hawai‘i. Method. Linear mixed-effects models were applied to analyze the physical performance measures (chair-stands, arm curls, and the up-and-go test) collected at baseline (month 0) and at 4, 8, and 12 months. We also compared the characteristics of participants who participated in the program for 12 months with those who dropped out in order to gain insights on participant retention. Results. Of 1,202 older adults with baseline data, 427 (35.5%) were continuously enrolled in Enhance®Fitness for 12 months and participated in follow-up data collection. On average, participants attended 63.7% of thrice-weekly classes each month. Participants’ physical performance measures improved after 4 months, continued to improve until 8 months, and were maintained thereafter. Besides continuous attendance, performance-measure improvements were associated with younger age, male gender, living with others (vs. alone), and fewer chronic conditions. Compared to those who completed 12 months of the program, the 775 who left the program over the course of the year were more likely to be younger, to be Caucasian (vs. Asian or Pacific Islander), to self-report depression as a chronic condition, and to have lower levels of fitness at baseline. Common reasons for dropping out were illness, relocation, time conflicts, lost interest, and transportation issues. Conclusions. Long-term participants in Enhance®Fitness initially improved and then maintained physical performance. Future research is needed to identify strategies to maintain enrollment of older adults in the exercise programs over time.


2020 ◽  
Vol 7 (2) ◽  
pp. 205510292095952
Author(s):  
Katherine JW Baucom ◽  
Jill Giresi ◽  
Richard E Heyman ◽  
Amy M Smith Slep

The degree to which individual self-rated physical health and concordance of self-rated physical health between partners are associated with relationship satisfaction was examined in a community sample of 399 couples with children. Couples completed self-report assessments of physical health (general health and physical functioning) and relationship satisfaction. Results suggest unique associations between partners’ general health and their own relationship satisfaction. Further, higher between-partner concordance in physical functioning was uniquely associated with higher relationship satisfaction in women. Understanding associations between health and relationship processes is crucial and has implications for future research on couple-based interventions to promote physical health.


Author(s):  
Angie L Sardina ◽  
Alyssa A Gamaldo ◽  
Ross Andel ◽  
Shanthi Johnson ◽  
Tamara A Baker ◽  
...  

Abstract Background Musculoskeletal pain alters physiological function, which may be evidenced as early as middle age. Previous research has concluded that middle-aged adults are a high-risk group for musculoskeletal pain and report functional limitations similar to older adults. However, few studies have examined the relationships between musculoskeletal pain and physical function, using objective performance measures in a sample of racially and socioeconomically diverse adults. Thus, this study examined musculoskeletal pain in relation to physical function in middle-aged (30–64 years) White and Black adults and investigated whether the relationship varied by sociodemographic characteristics. Methods This cross-sectional examination incorporated data from the Healthy Aging in Neighborhoods of Diversity across the Life-Span Study. Participants (n = 875) completed measures of musculoskeletal pain and objective measures of physical performance (ie, lower and upper body strength, balance, and gait abnormalities). Physical performance measures were standardized to derive a global measure of physical function as the dependent variable. Results Approximately, 59% of participants identified at least 1 pain sites (n = 518). Multivariable regression analyses identified significant relationships between greater musculoskeletal pain and poorer physical function (β = −0.07, p = .031), in mid midlife (β = −0.04, p = .041; age 40–54) and late midlife (β = −0.05, p = .027; age 55–64). Conclusions This study observed that musculoskeletal pain was associated with poorer physical function within a diverse group of middle-aged adults. Future research should longitudinally explore whether chronic musculoskeletal pain identified at younger ages is associated with greater risk for functional limitation and dependence in later life.


Spine ◽  
2003 ◽  
Vol 28 (20) ◽  
pp. 2407-2413 ◽  
Author(s):  
Harriët Wittink ◽  
William Rogers ◽  
Andrew Sukiennik ◽  
Daniel B. Carr

2021 ◽  
Author(s):  
Selina Weiss ◽  
Oliver Wilhelm ◽  
Patrick Kyllonen

The assessment of creativity presents major challenges. The many competing and complementary ideas on measuring creativity have resulted in a wide diversity of measures, making it difficult for potential users to decide on their appropriateness. Prior research has proposed creativity assessment taxonomies, but we argue that these have shortcomings because they often were not designed to (a) assess the essential assessment features and (b) are insufficiently specified for reliably categorizing extant measures. Based on prior categorization approaches, we propose a new framework for categorizing creativity measures including the following attributes: (a) measurement approach (self-report, other-report, ability tests), (b) construct (e.g., creative interests and attitudes, creative achievements, divergent thinking), (c) data type generated (e.g., questionnaire data vs. accomplishments counts), (d) prototypical scoring method (e.g., consensual assessment technique; CAT), and (e) psychometric problems. We identified 228 creativity measures appearing in the literature since 1900 and classified each measure according to their task attributes by two independent raters (rater agreement Cohen’s kappa .83 to 1.00 for construct). We provide a summary of convergent validity evidence and psychometric shortcomings. We conclude with recommendations for using the taxonomy and some psychometric desiderata for future research.


Author(s):  
P. Paul Heppner ◽  
Dong-Gwi Lee ◽  
Lu Tian

How people typically respond to life's problems is of critical importance, particularly how they appraise their problem-solving skills and whether they generally approach or avoid the many problems of life. A critical strength or resource for coping with life's demands is a person's appraisal of his or her problem-solving skills and style. This chapter focuses on how problem-solving appraisal has been empirically demonstrated to be an important asset in living and an important component of positive psychology. Specifically, it begins with a brief history of applied problem-solving appraisal, followed by how it is measured. The Problem Solving Inventory (PSI) has been one of the most widely used self-report inventories in applied problem solving; the PSI has a strong empirical base, and it is strongly linked to a wide range of indices of psychological adjustment, physical health, a wide array of coping activities, and vocational adjustment. The chapter also provides a brief overview of problem-solving training interventions, and finally future research directions and conclusions. Because problem-solving appraisal is learned, this implies that it is amenable to change; this provides hope for millions of people to bring positive change to their lives through the integration of problem solving and positive psychology.


Geriatrics ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 51 ◽  
Author(s):  
Margaret Danilovich ◽  
Laura Diaz ◽  
Daniel Corcos ◽  
Jody Ciolino

The Survey of Health, Ageing and Retirement in Europe-Frailty Instrument (SHARE-FI) is a frailty assessment tool designed for primary care settings comprised of four self-report questions and grip strength measurement, yet it is not known how SHARE-FI scores relate to objective physical performance measures that assess physical functioning, fall risk, and disability. This cross-sectional, observational study examined the association between SHARE-FI scores and a battery of physical performance measures in a sample of older adult, Medicaid waiver recipients (n = 139, mean age = 74.19 ± 8.36 years). We administered the SHARE-FI, Timed Up and Go (TUG), gait speed, and Short Physical Performance Battery (SPPB) in participants’ homes. Among clients, 45% were frail, 35% pre-frail, and 20% non-frail. There were significant differences in all physical performance measure scores with respect to SHARE-FI category. SHARE-FI continuous scores significantly predicted TUG time, all domains of the SPPB, gait speed, and inability to complete the chair rise test. Self-reported walking difficulty and objectively measured gait speed were significantly correlated. The SHARE-FI continuous frailty score predicts scores on a variety of validated physical performance measures. Given the fast administration time, the SHARE-FI could potentially be used to serve as a surrogate for physical performance measures with known association with physical function, fall risk, and disability.


2002 ◽  
Vol 17 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Deborah Kennedy ◽  
Paul W. Stratford ◽  
Sonia M.C. Pagura ◽  
Marianne Walsh ◽  
Linda J. Woodhouse

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.


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