PMID- 18713189
OWN - NLM
STAT- MEDLINE
DCOM- 20081030
LR  - 20220330
IS  - 1447-0594 (Electronic)
IS  - 1444-1586 (Print)
IS  - 1447-0594 (Linking)
VI  - 8
IP  - 1
DP  - 2008 Mar
TI  - Measuring disability in older adults: the International Classification System of 
      Functioning, Disability and Health (ICF) framework.
PG  - 48-54
LID - 10.1111/j.1447-0594.2008.00446.x [doi]
AB  - BACKGROUND: Despite the importance of disability to geriatric medicine, no large 
      scale study has validated the activity and participation domains of the 
      International Classification System of Functioning, Disability, and Health (ICF) 
      in older adults. The current project was designed to conduct such as analysis, 
      and then to examine the psychometric properties of a measure that is based on 
      this conceptual structure. METHODS: This was an archival analysis of older adults 
      (n = 1388) who had participated in studies within our Claude D Pepper Older 
      Americans Independence Center. Assessments included demographics and chronic 
      disease status, a 23-item Pepper Assessment Tool for Disability (PAT-D) and 6-min 
      walk performance. RESULTS: Analysis of the PAT-D produced a three-factor 
      structure that was consistent across several datasets: activities of daily living 
      disability, mobility disability and instrumental activities of daily living 
      disability. The first two factors are activities in the ICF framework, whereas 
      the final factor falls into the participation domain. All factors had acceptable 
      internal consistency reliability (>0.70) and test-retest (>0.70) reliability 
      coefficients. Fast walkers self-reported better function on the PAT-D scales than 
      slow walkers: effect sizes ranged from moderate to large (0.41-0.95); individuals 
      with cardiovascular disease had poorer scores on all scales than those free of 
      cardiovascular disease. In an 18-month randomized clinical trial, individuals who 
      received a lifestyle intervention for weight loss had greater improvements in 
      their mobility disability scores than those in a control condition. CONCLUSION: 
      The ICF is a useful model for conceptualizing disability in aging research, and 
      the PAT-D has acceptable psychometric properties as a measure for use in clinical 
      research.
FAU - Rejeski, W Jack
AU  - Rejeski WJ
AD  - Department of Health and Exercise Science, Wake Forest University, Winston-Salem, 
      North Carolina 27109, USA. rejeski@wfu.edu
FAU - Ip, Edward H
AU  - Ip EH
FAU - Marsh, Anthony P
AU  - Marsh AP
FAU - Miller, Michael E
AU  - Miller ME
FAU - Farmer, Deborah F
AU  - Farmer DF
LA  - eng
GR  - M01 RR000211/RR/NCRR NIH HHS/United States
GR  - P30 AG021332/AG/NIA NIH HHS/United States
GR  - M01-RR00211/RR/NCRR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - Japan
TA  - Geriatr Gerontol Int
JT  - Geriatrics & gerontology international
JID - 101135738
SB  - IM
MH  - Activities of Daily Living/classification
MH  - Aged
MH  - *Disability Evaluation
MH  - Disabled Persons/*classification
MH  - Factor Analysis, Statistical
MH  - Female
MH  - Geriatric Assessment/*classification
MH  - Humans
MH  - International Classification of Diseases/*classification
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Psychometrics
MH  - Randomized Controlled Trials as Topic
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Sickness Impact Profile
MH  - Surveys and Questionnaires
PMC - PMC5118869
MID - NIHMS829737
EDAT- 2008/08/21 09:00
MHDA- 2008/10/31 09:00
PMCR- 2016/11/22
CRDT- 2008/08/21 09:00
PHST- 2008/08/21 09:00 [pubmed]
PHST- 2008/10/31 09:00 [medline]
PHST- 2008/08/21 09:00 [entrez]
PHST- 2016/11/22 00:00 [pmc-release]
AID - GGI446 [pii]
AID - 10.1111/j.1447-0594.2008.00446.x [doi]
PST - ppublish
SO  - Geriatr Gerontol Int. 2008 Mar;8(1):48-54. doi: 10.1111/j.1447-0594.2008.00446.x.