Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease

Activities of daily living can be affected by cognitive decline. Self-report measurement of functioning is attractive due to ease of data collection, low cost, and accessibility via technology-assisted means, and for understanding patient perspective. A concern is with reliability of such measuremen...
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Gespeichert in:

Autor*in:	Curtis Tatsuoka PhD [verfasserIn] Louis DeMarco [verfasserIn] Kathleen A. Smyth PhD [verfasserIn] Stephen Wilkes MD [verfasserIn] Molly Howland BS [verfasserIn] Alan J. Lerner MD [verfasserIn] Martha Sajatovic MD [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Übergeordnetes Werk:	In: Gerontology and Geriatric Medicine - SAGE Publishing, 2016, 2(2016)
Übergeordnetes Werk:	volume:2 ; year:2016

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1177/2333721416665502

Katalog-ID:	DOAJ064396142

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topic_title	RC952-954.6 Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease
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title	Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease
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title_full	Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease
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author_browse	Curtis Tatsuoka PhD Louis DeMarco Kathleen A. Smyth PhD Stephen Wilkes MD Molly Howland BS Alan J. Lerner MD Martha Sajatovic MD
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title_sort	evaluating promis physical function measures in older adults at risk for alzheimer’s disease
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title_auth	Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease
abstract	Activities of daily living can be affected by cognitive decline. Self-report measurement of functioning is attractive due to ease of data collection, low cost, and accessibility via technology-assisted means, and for understanding patient perspective. A concern is with reliability of such measurement as cognitive decline occurs. We compared a widely used, self-report “legacy” measure of functioning, Lawton and Brody’s Instrumental Activities of Daily Living Scale (IADLS), with a subset of physical functioning items from the Patient-Reported Outcomes Measurement Information System (PROMIS). The study sample consisted of 304 individuals of varying cognitive status: normal, mild cognitive impairment (MCI), or early dementia. An expert consensus method was used to select PROMIS functional items most relevant to neurocognitive disorder and to identify major functional sub-domains. Selected PROMIS functional subscales and the IADLS were then evaluated with respect to cognitive status. Few PROMIS functional items were useful in identifying MCI, while we reaffirmed the utility of the IADLS. Also, even mild depression levels were found to have negative effects on functioning according to both PROMIS and IADLS.
abstractGer	Activities of daily living can be affected by cognitive decline. Self-report measurement of functioning is attractive due to ease of data collection, low cost, and accessibility via technology-assisted means, and for understanding patient perspective. A concern is with reliability of such measurement as cognitive decline occurs. We compared a widely used, self-report “legacy” measure of functioning, Lawton and Brody’s Instrumental Activities of Daily Living Scale (IADLS), with a subset of physical functioning items from the Patient-Reported Outcomes Measurement Information System (PROMIS). The study sample consisted of 304 individuals of varying cognitive status: normal, mild cognitive impairment (MCI), or early dementia. An expert consensus method was used to select PROMIS functional items most relevant to neurocognitive disorder and to identify major functional sub-domains. Selected PROMIS functional subscales and the IADLS were then evaluated with respect to cognitive status. Few PROMIS functional items were useful in identifying MCI, while we reaffirmed the utility of the IADLS. Also, even mild depression levels were found to have negative effects on functioning according to both PROMIS and IADLS.
abstract_unstemmed	Activities of daily living can be affected by cognitive decline. Self-report measurement of functioning is attractive due to ease of data collection, low cost, and accessibility via technology-assisted means, and for understanding patient perspective. A concern is with reliability of such measurement as cognitive decline occurs. We compared a widely used, self-report “legacy” measure of functioning, Lawton and Brody’s Instrumental Activities of Daily Living Scale (IADLS), with a subset of physical functioning items from the Patient-Reported Outcomes Measurement Information System (PROMIS). The study sample consisted of 304 individuals of varying cognitive status: normal, mild cognitive impairment (MCI), or early dementia. An expert consensus method was used to select PROMIS functional items most relevant to neurocognitive disorder and to identify major functional sub-domains. Selected PROMIS functional subscales and the IADLS were then evaluated with respect to cognitive status. Few PROMIS functional items were useful in identifying MCI, while we reaffirmed the utility of the IADLS. Also, even mild depression levels were found to have negative effects on functioning according to both PROMIS and IADLS.
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title_short	Evaluating PROMIS Physical Function Measures in Older Adults at Risk for Alzheimer’s Disease
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