Discriminative validity of the Core outcome set functional independence in a population of older adults

被引:2
作者
Dockx, Yvonne J. C. [1 ]
Molenaar, Esther A. L. M. [2 ,3 ]
Barten, Di-Janne J. A. [2 ,3 ]
Veenhof, Cindy [2 ,3 ]
机构
[1] Univ Utrecht, Univ Med Ctr Utrecht, Program Clin Hlth Sci, Phys Therapy Sci, Utrecht, Netherlands
[2] Utrecht Univ Appl Sci, Dept Innovat Human Movement Care, Utrecht, Netherlands
[3] UMC Utrecht Brain Ctr, Dept Rehabil Physiotherapy Sci & Sport, Utrecht, Netherlands
关键词
Functional Independence; Core outcome set; Elderly; Validity; LOWER-EXTREMITY FUNCTION; HEALTH LITERACY; PHYSICAL PERFORMANCE; DISABILITY; VALIDATION; STRENGTH; RISK; PARTICIPATION; ASSOCIATION; RELIABILITY;
D O I
10.1186/s12877-020-01705-6
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
BackgroundClinicians are currently challenged to support older adults to maintain a certain level of Functional Independence (FI). FI is defined as "functioning physically safely and independent from another person, within one's own context". A Core Outcome Set was developed to measure FI. The purpose of this study was to assess discriminative validity of the Core Outcome Set FI (COSFI) in a population of Dutch older adults (>= 65years) with different levels of FI. Secondary objective was to assess to what extent the underlying domains 'coping', 'empowerment' and 'health literacy' contribute to the COSFI in addition to the domain 'physical capacity'.MethodsA population of 200 community-dwelling older adults and older adults living in residential care facilities were evaluated by the COSFI. The COSFI contains measurements on the four domains of FI: physical capacity, coping, empowerment and health literacy. In line with the COSMIN Study Design checklist for Patient-reported outcome measurement instruments, predefined hypotheses regarding prediction accuracy and differences between three subgroups of FI were tested. Testing included ordinal logistic regression analysis, with main outcome prediction accuracy of the COSFI on a proxy indicator for FI.ResultsOverall, the prediction accuracy of the COSFI was 68%. For older adults living at home and depending on help in (i)ADL, prediction accuracy was 58%. 60% of the preset hypotheses were confirmed. Only physical capacity measured with Short Physical Performance Battery was significantly associated with group membership. Adding health literacy with coping or empowerment to a model with physical capacity improved the model significantly (p <0.01).ConclusionsThe current composition of the COSFI, did not yet meet the COSMIN criteria for discriminative validity. However, with some adjustments, the COSFI potentially becomes a valuable instrument for clinical practice. Context-related factors, like the presence of a spouse, also may be a determining factor in this population. It is recommended to include context-related factors in further research on determining FI in subgroups of older people.
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共 57 条
[41]   THE TIMED UP AND GO - A TEST OF BASIC FUNCTIONAL MOBILITY FOR FRAIL ELDERLY PERSONS [J].
PODSIADLO, D ;
RICHARDSON, S .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (02) :142-148
[42]   How to select outcome measurement instruments for outcomes included in a "Core Outcome Set" - a practical guideline [J].
Prinsen, Cecilia A. C. ;
Vohra, Sunita ;
Rose, Michael R. ;
Boers, Maarten ;
Tugwell, Peter ;
Clarke, Mike ;
Williamson, Paula R. ;
Terwee, Caroline B. .
TRIALS, 2016, 17
[43]   Measuring patient activation in the Netherlands: translation and validation of the American short form Patient Activation Measure (PAM13) [J].
Rademakers, Jany ;
Nijman, Jessica ;
van der Hoek, Lucas ;
Heijmans, Monique ;
Rijken, Mieke .
BMC PUBLIC HEALTH, 2012, 12
[44]   Assessment of maximal handgrip strength: how many attempts are needed? [J].
Reijnierse, Esmee M. ;
de Jong, Nynke ;
Trappenburg, Marijke C. ;
Blauw, Gerard Jan ;
Butler-Browne, Gillian ;
Gapeyeva, Helena ;
Hogrel, Jean-Yves ;
McPhee, Jamie S. ;
Narici, Marco V. ;
Sipila, Sarianna ;
Stenroth, Lauri ;
van Lummel, Rob C. ;
Pijnappels, Mirjam ;
Meskers, Carel G. M. ;
Maier, Andrea B. .
JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE, 2017, 8 (03) :466-474
[45]   A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach [J].
Roberts, Helen C. ;
Denison, Hayley J. ;
Martin, Helen J. ;
Patel, Harnish P. ;
Syddall, Holly ;
Cooper, Cyrus ;
Sayer, Avan Aihie .
AGE AND AGEING, 2011, 40 (04) :423-429
[46]   A CROSS-SECTIONAL VALIDATION-STUDY OF THE FICSIT COMMON DATA-BASE STATIC BALANCE MEASURES [J].
ROSSITERFORNOFF, JE ;
WOLF, SL ;
WOLFSON, LI ;
BUCHNER, DM ;
MILLER, JP ;
PROVINCE, MA ;
SCHECHTMAN, KB ;
ARFKEN, CI ;
HORNBROOK, MC ;
STEVENS, VJ ;
WINGFIELD, DJ ;
GREENLICK, MR ;
TINETTI, ME ;
BAKER, DI ;
CLAUS, EB ;
HORWITZ, RI ;
WAGNER, EH ;
DELATEUR, BJ ;
CRESS, ME ;
PRICE, R ;
ABRASS, IB ;
ESSELMAN, P ;
MARGUERITA, T ;
MURPHY, AL ;
MURLOW, CD ;
GERETY, MB ;
CORNELL, JE ;
DENINO, LA ;
KANTEN, D ;
KUTNER, NG ;
GREEN, RC ;
MCNEELY, E ;
COOGLER, C ;
FIATARONE, MA ;
ONEILL, EF ;
RYAN, ND ;
CLEMENTS, DTKM ;
LIPSITZ, LA ;
KEHAYIAS, JJ ;
ROBERTS, SB ;
EVANS, WJ ;
WALLACE, R ;
ROSS, JE ;
HUSTON, JC ;
KUNDEL, CJ ;
SELLBERG, MS ;
WHIPPLE, RH ;
AMERMAN, PM ;
JUDGE, JO ;
DERBY, CA .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 1995, 50 (06) :M291-M297
[47]   Psychometric Properties of the Patient Activation Measure among Multimorbid Older Adults [J].
Skolasky, Richard L. ;
Green, Ariel Frank ;
Scharfstein, Daniel ;
Boult, Chad ;
Reider, Lisa ;
Wegener, Stephen T. .
HEALTH SERVICES RESEARCH, 2011, 46 (02) :457-478
[48]   Health literacy and public health: A systematic review and integration of definitions and models [J].
Sorensen, Kristine ;
Van den Broucke, Stephan ;
Fullam, James ;
Doyle, Gerardine ;
Pelikan, Juergen ;
Slonska, Zofia ;
Brand, Helmut .
BMC PUBLIC HEALTH, 2012, 12
[49]   Assessing the Performance of Prediction Models A Framework for Traditional and Novel Measures [J].
Steyerberg, Ewout W. ;
Vickers, Andrew J. ;
Cook, Nancy R. ;
Gerds, Thomas ;
Gonen, Mithat ;
Obuchowski, Nancy ;
Pencina, Michael J. ;
Kattan, Michael W. .
EPIDEMIOLOGY, 2010, 21 (01) :128-138
[50]   Quality criteria were proposed for measurement properties of health status questionnaires [J].
Terwee, Caroline B. ;
Bot, Sandra D. M. ;
de Boer, Michael R. ;
van der Windt, Danille A. W. M. ;
Knol, Dirk L. ;
Dekker, Joost ;
Bouter, Lex A. ;
de Vet, Henrica C. W. .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2007, 60 (01) :34-42