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Detecting longitudinal changes in activities of daily living (ADL) dependence : Optimizing ADL staircase response choices

Axmon, Anna (author)
Lund University,Lunds universitet,EPI@LUND,Forskargrupper vid Lunds universitet,Lund University Research Groups
Ekstam, Lisa (author)
Lund University,Lunds universitet,Delaktighet, åldrande och vardagsliv,Forskargrupper vid Lunds universitet,Participation, ageing and everyday life,Lund University Research Groups
Slaug, Björn (author)
Lund University,Lunds universitet,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Lund OsteoArthritis Division - Joint injury research group,Active and Healthy Ageing Research Group,Lund University Research Groups
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Schmidt, Steven M. (author)
Lund University,Lunds universitet,Aktivt och hälsosamt åldrande,Forskargrupper vid Lunds universitet,Active and Healthy Ageing Research Group,Lund University Research Groups
Fänge, Agneta Malmgren (author)
Lund University,Lunds universitet,Delaktighet, åldrande och vardagsliv,Forskargrupper vid Lunds universitet,Participation, ageing and everyday life,Lund University Research Groups
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 (creator_code:org_t)
2019-06-12
2019
English 7 s.
In: British Journal of Occupational Therapy. - : SAGE Publications. - 0308-0226 .- 1477-6006. ; 82:10, s. 646-652
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Introduction: Using a sum score based on a three-graded response scale for the activities of daily living staircase has previously been found to increase the statistical power compared to dichotomized responses when assessing longitudinal changes in activities of daily living. We aimed to investigate if the statistical power could be further increased by using a four-graded scale. Methods: We used data from two previous studies on community-living people to calculate sum scores based on a dichotomized (independent/dependent), a three-graded (independent/partly dependent/dependent), and a four-graded (independent without difficulty/independent with difficulty/partly dependent/dependent) response scale for the activities of daily living staircase. In total, 1818 paired observations (baseline to follow-up) from 482 people were included. Statistical power was estimated for the entire material as well as stratified by follow-up time and baseline activities of daily living using simulations. Results: The four-graded scale provided the highest statistical power, particularly for shorter follow-up times and low and high baseline activities of daily living, but had similar statistical power to the three-graded scale for longer follow-up times and medium baseline activities of daily living. Conclusion: Adding a second level to “independent” in the activities of daily living staircase improved the detection of changes over time.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)

Keyword

Activities of daily living
data interpretation
occupational therapy
statistical longitudinal studies
CASE - Centre for Ageing and Supportive Environments

Publication and Content Type

art (subject category)
ref (subject category)

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Axmon, Anna
Ekstam, Lisa
Slaug, Björn
Schmidt, Steven ...
Fänge, Agneta Ma ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Other Medical an ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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and Geriatrics
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