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Titre : | Comparison of Complex Versus Simple Activity of Daily Living Staging: Validation of Simple Stages (2013) |
Auteurs : | Miryam Schussler-Fiorenza ; Dawei Xie ; Qiang Pan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/7, 2013) |
Article en page(s) : | pp. 1320-1327 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Autosoins ; Mobilité réduite ; Personnes handicapées ; Rééducation et réadaptation ; Sujet âgé |
Mots-clés: | Activities of daily living ; Aged ; Architectural accessibility ; Accessibilité architecturale ; Disabled persons ; Mobility limitation ; Self care |
Résumé : |
Objective To compare activities of daily living (ADL) staging based on 2-level responses to ADL difficulty questions (simple ADL stages) with ADL staging based on 4-level ADL question responses (complex ADL stages). Design Analysis of the Second Longitudinal Study of Aging, a prospective cohort study, using descriptive statistics and logistic regression. Setting Participants' homes. Participants Community-dwelling persons (N=9447) aged ≥70 years in 1994. Interventions Not applicable. Main Outcome Measures (1) Agreement and face validity: baseline simple ADL stage; (2) construct validity: baseline health, difficulty, and need characteristics; (3) prognostic comparison (determined at the Wave 2 interview): primarynursing home use and/or death; secondarydeath. Results The systems showed good agreement (κ=.75). The simple ADL stages stratified people into distinct groups and reflected the expected stepwise increases from stage 0 to stage IV in health and need characteristics, such as the prevalence of home-related challenges (2.9%84.5%) and perceived need for home modifications (2.1%33.6%). In comparing the prognostic ability using the primary outcome, the complex system model demonstrated slightly increased discrimination between milder stages and a slightly higher C statistic (.666 vs .664). Conclusions Although complex staging appears slightly better at classifying people into distinct prognostic strata with respect to nursing home use and/or death at Wave 2, simple ADL stages demonstrate strong, clinically relevant associations with health and need characteristics. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |