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Reliability of interview-based ADL ability measures in older adults obtained by occupational therapists, physical therapists, and nursing staff

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Názov: Reliability of interview-based ADL ability measures in older adults obtained by occupational therapists, physical therapists, and nursing staff
Autori: Eva Ejlersen Wæhrens, Kristina Tomra Nielsen
Zdroj: Disability and Rehabilitation. 46:5380-5386
Informácie o vydavateľovi: Informa UK Limited, 2024.
Rok vydania: 2024
Predmety: Male, Aged, 80 and over, evaluation, Activities of daily living, interview, Reproducibility of Results, self-report, Middle Aged, Physical Therapists, Interviews as Topic, outcome measures, Disability Evaluation, Occupational Therapists, Occupational Therapy, Geriatric Assessment/methods, Activities of Daily Living, 80 and over, Humans, Female, Nursing Staff, Geriatric Assessment, Aged
Popis: To examine the reliability of ADL interview (ADL-I) ability measures when administered by different health professionals (HPs).Older adults with stable ADL ability were invited to participate in three ADL-I interviews, administered by occupational therapists (OTs), physical therapists (PTs), and nursing staff (NS), respectively. Methods based on classic and modern test theory were applied.Overall, n = 36 older adults and n = 11 HPs participated. Intraclass Correlation Coefficients were acceptable for research purposes (> 0.7), but not for clinical use. Mean differences in ADL ability measures were significant when comparing measures based on interviews by OTs to measures based on interviews by PTs and NS. Further, in 25 to 47% of the individuals, ADL-I ability measures differed significantly across HPs. Limits of Agreement revealed that measures based on interviews by OTs were systematically lower compared to measures based on interviews by PTs and NS. Four ADL-I items displayed Differential Item Functioning based on HP.When using the ADL-I, it is recommended to only involve one profession, to increase the reliability of measures. Results highlight the importance of evaluating reliability of measures based on instruments administered across HPs before implementation in rehabilitation practice and research.
Druh dokumentu: Article
Jazyk: English
ISSN: 1464-5165
0963-8288
DOI: 10.1080/09638288.2023.2301476
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38206177
https://portal.findresearcher.sdu.dk/da/publications/25a9d607-b7e5-4875-ae33-a13970988d09
https://doi.org/10.1080/09638288.2023.2301476
Prístupové číslo: edsair.doi.dedup.....15731e97bd1a48ee433cf28376d456a8
Databáza: OpenAIRE
Popis
Abstrakt:To examine the reliability of ADL interview (ADL-I) ability measures when administered by different health professionals (HPs).Older adults with stable ADL ability were invited to participate in three ADL-I interviews, administered by occupational therapists (OTs), physical therapists (PTs), and nursing staff (NS), respectively. Methods based on classic and modern test theory were applied.Overall, n = 36 older adults and n = 11 HPs participated. Intraclass Correlation Coefficients were acceptable for research purposes (> 0.7), but not for clinical use. Mean differences in ADL ability measures were significant when comparing measures based on interviews by OTs to measures based on interviews by PTs and NS. Further, in 25 to 47% of the individuals, ADL-I ability measures differed significantly across HPs. Limits of Agreement revealed that measures based on interviews by OTs were systematically lower compared to measures based on interviews by PTs and NS. Four ADL-I items displayed Differential Item Functioning based on HP.When using the ADL-I, it is recommended to only involve one profession, to increase the reliability of measures. Results highlight the importance of evaluating reliability of measures based on instruments administered across HPs before implementation in rehabilitation practice and research.
ISSN:14645165
09638288
DOI:10.1080/09638288.2023.2301476