CHANGE IN SELF-REPORTED FUNCTIONING IN OLDER PERSONS ENTERING A RESIDENTIAL CARE FACILITY

被引:27
作者
SIU, AL
OUSLANDER, JG
OSTERWEIL, D
REUBEN, DB
HAYS, RD
机构
[1] JEWISH HOME AGING LOS ANGELES, RESEDA, CA USA
[2] RAND HLTH PROGRAM, SANTA MONICA, CA USA
关键词
HEALTH STATUS; FUNCTIONAL STATUS; RESPONSIVENESS; QUALITY-OF-LIFE; ELDERLY; GERIATRICS;
D O I
10.1016/0895-4356(93)90108-D
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We evaluated the responsiveness of measures of function in admissions to a long-term care facility. Between baseline and follow-up assessment, one-fifth or more of the subjects either worsened or improved in most aspects of reported function. We compared two measures of self-reported function (COOP charts and a short-form survey). Convergent validity was observed for changes in pain, social health, and mental health (r = 0.39-0.74), but not for physical functioning. Although the short-form physical function measure discriminated worsening on several performance-based external criteria of physical functioning (area under ROC curves up to 0.82), the COOP and other measures of physical functioning were less likely. to do so. All physical function measures were less responsive for detecting improvement. Clinicians and investigators intending to monitor change in function must consider the responsiveness of their measures.
引用
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页码:1093 / 1101
页数:9
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