PMID- 20403946 OWN - NLM STAT- MEDLINE DCOM- 20100617 LR - 20220318 IS - 1758-535X (Electronic) IS - 1079-5006 (Print) IS - 1079-5006 (Linking) VI - 65 IP - 6 DP - 2010 Jun TI - Development and validation of a video-animated tool for assessing mobility. PG - 664-71 LID - 10.1093/gerona/glq055 [doi] AB - BACKGROUND: Existing self-report measures of mobility ignore important contextual features of movement and require respondents to make complex judgments about specific tasks. Thus, we describe the development and validation of a short form (sf) video-animated tool for assessing mobility, the Mobility Assessment Tool-MAT-sf. METHODS: This study involves cross-sectional and longitudinal analyses examining the measurement properties of the MAT-sf. The MAT-sf consists of 10 animated video clips that assess respondents' level of proficiency in performing each task. The main outcome measures used for validation included the Pepper Assessment Tool for Disability (PAT-D), the Short Physical Performance Battery (SPPB), and 400-m walk test. RESULTS: Participants (n = 234), 166 women and 68 men, had an average age of 81.9 years and a variety of comorbidities with 65.4% having high blood pressure. An average SPPB score of 8.6 (range 2-12) suggests that the study sample had evidence of compromised physical function but was quite heterogeneous. The MAT-sf had good content validity, excellent test-retest reliability (r = .93), and criterion-related validity with the PAT-D. Moreover, the MAT-sf added considerable variance to the prediction of both SPPB scores and 400-m gait speed over and above the PAT-D mobility subscale. The MAT-sf also discriminated between older adults who completed or failed the 400-m walk test. CONCLUSION: The MAT-sf is an innovative psychometrically sound measure of mobility. It has utility in epidemiological studies, translational science, and clinical practice. FAU - Rejeski, W Jack AU - Rejeski WJ AD - Department of Health and Exercise Science, Wake Forest University, P.O. Box 7868, Winston-Salem, NC 27109, USA. rejeski@wfu.edu FAU - Ip, Edward H AU - Ip EH FAU - Marsh, Anthony P AU - Marsh AP FAU - Barnard, Ryan T AU - Barnard RT LA - eng GR - 5M01RR007122-18/RR/NCRR NIH HHS/United States GR - HL076441-01A1/HL/NHLBI NIH HHS/United States GR - P30 AG021332/AG/NIA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Validation Study DEP - 20100419 PL - United States TA - J Gerontol A Biol Sci Med Sci JT - The journals of gerontology. Series A, Biological sciences and medical sciences JID - 9502837 SB - IM MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - *Disability Evaluation MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - *Mobility Limitation MH - Predictive Value of Tests MH - Psychometrics MH - Reproducibility of Results MH - Task Performance and Analysis MH - *Videotape Recording PMC - PMC2869532 EDAT- 2010/04/21 06:00 MHDA- 2010/06/18 06:00 PMCR- 2010/04/19 CRDT- 2010/04/21 06:00 PHST- 2010/04/21 06:00 [entrez] PHST- 2010/04/21 06:00 [pubmed] PHST- 2010/06/18 06:00 [medline] PHST- 2010/04/19 00:00 [pmc-release] AID - glq055 [pii] AID - 10.1093/gerona/glq055 [doi] PST - ppublish SO - J Gerontol A Biol Sci Med Sci. 2010 Jun;65(6):664-71. doi: 10.1093/gerona/glq055. Epub 2010 Apr 19.