Development of a Test of Physical Performance for the Nursing Home Setting (original) (raw)
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The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 2008
Background. Functional evaluation is a cornerstone of multidimensional geriatric assessment; however, little is known of the clinical value of standardized performance-based assessment in the acute care setting. The aim of this study was to evaluate the clinical correlates and short-term predictive value of the Short Physical Performance Battery (SPPB) in older patients admitted to the hospital for an acute medical event.
A new tool for rapid geriatric assessment in the elderly
The Israel Medical Association journal : IMAJ, 2012
Geriatric assessment (GA) in the elderly is vitally important for determining the optimal management for patients and the appropriate source of its financing. The search for a novel and compact tool stemmed from the clumsiness and complexity of the traditional instruments in scoring and interpretation. To assess the design, application and validity and reliability of a new tool for rapid geriatric assessment in the elderly. We measured activities of daily living (ADL) scores using the new tool compared with a well-known (Barthel) index in a population study of 90 elderly subjects (20 males and 70 females) in four long-term care departments of a governmental geriatric center, representing a spectrum of subjects (independent, frail, mentally exhausted, and totally dependent). There was a good correlation between the two tools, as demonstrated by the correlation curve. The new test was found to be reliable and valid according to the Cronbach and Pearson indexes. Importantly, it took a ...
Validation of the Late-Life Function and Disability Instrument
Journal of the American Geriatrics Society, 2000
OBJECTIVES: To assess the concurrent and predictive validity of the Late-Life Function and Disability Instrument (LLFDI). DESIGN: Cross-sectional. SETTING: University-based human physiology laboratory. PARTICIPANTS: One hundred one men and women aged 80.8 AE 0.4. MEASUREMENTS: A short physical performance battery (SPPB) and a self-paced 400-m walk (400-m W) were used as performance tests of lower extremity function. The LLFDI was used to assess self-reported function and physical disability. Partial correlations adjusted for age and body mass index were used to determine the concurrent and predictive validity of the LLFDI. Statistical significance was accepted at Po.004 using a testwise correction. RESULTS: LLFDI Overall Function scores were moderately associated with the SPPB (r 5 0.65, Po.001), 400-m W gait speed (r 5 0.69, Po.001), and measures of lower extremity function. Correlations of the two lower extremity subscores of the LLFDI (correlation coefficient (r) 5 0.63-0.73, Po.001) were greater than for the LLFDI upper extremity subscores (r 5 0.19-0.26, P4.004). Performance measures of function predicted disability limitations in the range of r 5 0.37-0.44 (Po.001) and disability frequency in the range of r 5 0.16-0.20 (P4.004). CONCLUSION: These findings support the concurrent and predictive validity of the LLFDI. Results support the use of the LLFDI scales as a substitute for physical performance tests when self-report is a preferred data-collection format.
Assessment of the functional efficiency of the elderly
Polish Journal of Public Health, 2020
Introduction. Functional efficiency is a product of various deficits, regardless of the diseases that cause them and other factors. The assessment of the functioning status allows for focusing of activities on diagnostic and therapeutic ones and is a platform for agreement between the parties involved in geriatric care. Aim. The aim of the study was to assess the functional efficiency of geriatric patients under long-term care. Material and method. The research was carried out in a group of 518 elderly people receiving long-term care. The age of the respondents was in the range of 65-92 years old. The research was carried out using the NOSGER scale (Nurses’ Observation Scale for Geriatric Patients). This scale allows to quickly and easily assess the psychological, mental and social condition of the patient. Results. When assessing with the NOSGER scale, the average result was 80.64 points. Among the component areas, the largest deficits were reported in the field of instrumental act...
Archives of Physical Medicine and Rehabilitation, 1999
Objective: To test the Frail Elderly Functional Assessment (FEFA) questionnaire for responsiveness (sensitivity to change) to low-level functional tasks in a frail elderly cohort and to evaluate its validity over the telephone or when administered to a caregiver proxy. Subjects: Fifty-eight elderly patients from three urban inpatient rehabilitation settings and an outpatient geriatrics center. Methods: A prospective, clinical, comparative trial. The FEFA questionnaire was administered serially. For validity, subjects were observed performing the tasks on the questionnaire within 24 hours of each interview. For responsiveness, repeat measures were performed within a 1-to 2-week period. Validity and sensitivity to change (responsiveness) of the questionnaire were determined by correlating patient responses to direct observations by rehabilitation staff. Responsiveness was also determined based on the Guyatt technique that divides clinically significant change by the normal variance, ~/(2× [mean squared error])!/2, as well as by measures of effect size, standardized response means, and relative efficiency tests for responsiveness. To evaluate FEFA validity in alternative settings, kappa statistic and regression analyses were used based on the previously validated interviewer-administered format. Results: Responsiveness was excellent with effect size (.35), standardized response means (.48), and relative efficiency (2.67) tests as well as Guyatt (1.26). There was 83% agreement when compared with FEFA task performance. Regression between change in FEFA score versus performance testing was significant (r 2 = .33;p = .01). ANOVA was significant at ap = .03 for FEFA scores at first measure in rehabilitation compared to second. Correlation for caregiver proxy administration was .92 (p-.0001) and for telephone administration was .99 (p < .0001). Conclusions: The FEFA questionnaire, previously demonstrated to be reliable and valid, is sensitive to functional change
Journal of The American Geriatrics Society, 2009
OBJECTIVES: To evaluate the function component of the Short Form of the Late-Life Function and Disability Instrument (SF-LLFDI, German version) in geriatric inpatients and compare it with established performance-based and self-rated assessment tools.SETTING: Geriatric inpatient rehabilitation unit.PARTICIPANTS: One hundred fifty-six geriatric rehabilitation inpatients (44 men, 112 women) with a mean age of 81.7 who were capable of walking at baseline.MEASUREMENTS: Weekly assessments were performed from admission until discharge (3 weeks later) using the function component of the SF-LLFDI, the Barthel Index (BI), the Falls Efficacy Scale International (FES-I), gait characteristics, the Timed Up and Go Test, and the Short Physical Performance Battery. Baseline characteristics were measured at admission. Construct validity was evaluated using Spearman correlation coefficients, internal consistency was measured using Cronbach alpha, and sensitivity to change was estimated using standardized response means.RESULTS: The SF-LLFDI did not show significant floor or ceiling effects. Internal consistency was good, with alpha (function component sub-scores) equal to 0.80 to 0.86. Convergent validity measures concerning performance-based scores were moderate to good, and correlations increased over time (correlation coefficient (r)=0.35–0.64). There was a high correlation with the FES-I (admission: r=0.61, discharge: r=0.76). Sensitivity to change was significant for all examined scores, with the BI outperforming all other instruments, although the SF-LLFDI showed better responsiveness than the BI regarding change characteristics over time.CONCLUSION: The SF-LLFDI is a reliable and valid self-report instrument to measure functional status in geriatric rehabilitation inpatients. It improves the assessment of clinically relevant responsiveness. Further research is warranted to improve its sensitivity to change.
Assessment of function: Critically important to acute care of elders
Geriatric Nursing, 1997
Nurses are in a position in all care settings to assess elders' functional status. BY DENISE M. KRESEVIC/ MATHY MEZEY/ THE NICHE FACULTY* Assessment of functional status in hospitalized elders provides essential information that can assist maintenance or restoration of self-care. Nurses in acute care settings are in a pivotal position to assess function and target interventions to prevent loss of function and maintain an individual's self-care ability. This article discusses critical issues in the functional assessment of hospitalized elders and provides a clinical practice pro-DENISE M. KRESEVIC, RN, CS, PhD, is a geriatric clinical nurse specialist at University Hospitals of Cleveland in Cleveland, Ohio. MATHY
Validity of 3 Physical Performance Measures in Inpatient Geriatric Rehabilitation
Archives of Physical Medicine and Rehabilitation, 2006
Brooks D, Davis AM, Naglie G. Validity of 3 physical performance measures in inpatient geriatric rehabilitation. Arch Phys Med Rehabil 2006;87:105-10. Objective: To evaluate the construct validity and the responsiveness of 3 measures of physical performance measures as outcome measures for frail older persons. Design: Pre-post design with measures at admission and discharge. Setting: Three inpatient geriatric rehabilitation programs. Participants: Fifty-two subjects (35 women, 17 men; age, 80Ϯ8y). Interventions: Not applicable. Main Outcome Measures: Physical performance measures were Timed Up & Go (TUG) test, two-minute walk test (2MWT), and functional reach. Functional status was measured with the FIM instrument and the Modified Barthel Index.