Is patient-reported function reliable for monitoring postacute outcomes?

Full Abstract

OBJECTIVE:
A major challenge in the development of a comprehensive measurement system to evaluate effectiveness across a broad range of postacute care settings is the stability and consistency of outcomes measures across respondents and settings. The objective of this study was to investigate the test-retest and subject-proxy reliability of activity scores for use in a new postacute care outcome instrument using an interview format across different care settings.

DESIGN:
Twenty-five subjects were randomly selected from a larger study of 485 individuals and were interviewed on two occasions within 1 to 4 days to assess self-reported test-retest reliability of summary scores of the Activity Measure-Post-Acute Care item pool. Proxy reliability was tested by interviewing the primary physical or occupational therapist or family member using an identical questionnaire in addition to the subject in 45 patients.

RESULTS:
Test-retest and subject-proxy reliability was acceptable for the three domains of the activity construct:
physical and movement, personal and instrumental, and applied cognition with intraclass correlation coefficients of the summary scores of each of the three domains ranging between 0.91 and 0.97 for test-retest and 0.68 and 0.90 for subject-proxy.

CONCLUSIONS:
Reliability is adequate to justify use of these activity scales across respondents and settings.

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Author information

Author/s: Andres, Patricia L (PL); Haley, Stephen M (SM); Ni, Peng Sheng (PS);

Affiliation: Research and Training Center on Measuring Rehabilitation Outcomes, Boston University, Boston, Massachusetts 02215, USA.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't; Validation Studies

Journal: American journal of physical medicine & rehabilitation / Association of Academic Physiatrists (Am J Phys Med Rehabil), published in United States. (Language: eng)

Reference: 2003-Aug; vol 82 (issue 8) : pp 614-21

Dates: Created 2003/07/21; Completed 2003/08/12; Revised 2006/11/15;

PMID: 12872018, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Aged
Aged, 80 and over
Cognition
Disabled Persons - rehabilitation
Female
Health Status

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