Validity of questions about activities of daily living to screen for dependency in older adults
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.11606/S1518-8787.2017051006959 https://repositorio.unifesp.br/handle/11600/55465 |
Resumo: | OBJECTIVE: To determine the criterion validity of the activities of daily living present in functionality questionnaires in older adults for population surveys and to identify which activities are valid to quantify the real daily need for help of this population. METHODS: This is a population sample of older adults stratified by levels of functionality, according to self-perception of dependency in the activities of daily living. Self-perception was compared with the gold standard - direct observation of these activities in the household of older adults by a trained professional, blinded to the answers in the questionnaire. At the visit, it was decided if the older adult needed help to perform any of the activities of daily living for the research. The sensitivity of each activity of daily living was greater when the self-assessment that there was no need for help coincided with the assessment of the professional. Specificity indicates coincidence regarding the need for help in the activities of daily living - coefficients of sensitivity and specificity above 70% were considered as indicative of good validity. RESULTS: Self-assessments showed better sensitivity than specificity - older adults and observers agreed more on daily independency than on dependency. All activities showed sensitivity above 70%. Some activities had low (go shopping: 55%) or very low specificity (brush the hair: 33%). The best specificities were to take a shower and dress up (95.8% for both), among the personal ones, and to use transportation and perform banking transactions (78% for both), among the instrumental ones. CONCLUSIONS: Activities of daily living can be valid indicators of functional dependence. The best coefficients of validity were generally obtained for personal activities. Some activities with good sensitivities and specificities - walk 100 meters, take a shower, and lie down in and get out of the bed - can be used to classify older adults into low, average, and high need for help depending on the affected activities and, therefore, can help in the planning of health services aimed at them. |
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Validity of questions about activities of daily living to screen for dependency in older adultsAgedActivities of Daily LivingIndependent LivingDiagnostic Self EvaluationSurveys and Questionnaires, utilizationValidation StudiesOBJECTIVE: To determine the criterion validity of the activities of daily living present in functionality questionnaires in older adults for population surveys and to identify which activities are valid to quantify the real daily need for help of this population. METHODS: This is a population sample of older adults stratified by levels of functionality, according to self-perception of dependency in the activities of daily living. Self-perception was compared with the gold standard - direct observation of these activities in the household of older adults by a trained professional, blinded to the answers in the questionnaire. At the visit, it was decided if the older adult needed help to perform any of the activities of daily living for the research. The sensitivity of each activity of daily living was greater when the self-assessment that there was no need for help coincided with the assessment of the professional. Specificity indicates coincidence regarding the need for help in the activities of daily living - coefficients of sensitivity and specificity above 70% were considered as indicative of good validity. RESULTS: Self-assessments showed better sensitivity than specificity - older adults and observers agreed more on daily independency than on dependency. All activities showed sensitivity above 70%. Some activities had low (go shopping: 55%) or very low specificity (brush the hair: 33%). The best specificities were to take a shower and dress up (95.8% for both), among the personal ones, and to use transportation and perform banking transactions (78% for both), among the instrumental ones. CONCLUSIONS: Activities of daily living can be valid indicators of functional dependence. The best coefficients of validity were generally obtained for personal activities. Some activities with good sensitivities and specificities - walk 100 meters, take a shower, and lie down in and get out of the bed - can be used to classify older adults into low, average, and high need for help depending on the affected activities and, therefore, can help in the planning of health services aimed at them.Univ Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Saude Colet, Sao Paulo, SP, BrazilUniv Fed Ceara, Fac Med, Dept Med Clin, Fortaleza, Ceara, BrazilUniv Estado Rio de Janeiro, Univ Aberta Terceira Idade, Rio De Janeiro, RJ, BrazilUniv Fed Minas Gerais, Fundacao Oswaldo Cruz, Ctr Pesquisas Rene Rachou, Belo Horizonte, MG, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Saude Colet, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Dept Med Prevent, Sao Paulo, SP, BrazilWeb of ScienceNational Council for Scientific and Technological Development (CNPq)CNPq: 555070/2006-9Revista De Saude Publica2020-07-17T14:03:31Z2020-07-17T14:03:31Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion-application/pdfhttp://dx.doi.org/10.11606/S1518-8787.2017051006959Revista De Saude Publica. Sao Paulo, v. 51, p. -, 2017.10.11606/S1518-8787.2017051006959WOS000410607400012.pdf0034-8910https://repositorio.unifesp.br/handle/11600/55465WOS:000410607400012engRevista De Saude PublicaSao Pauloinfo:eu-repo/semantics/openAccessReboucas, Monica [UNIFESP]Coelho-Filho, Joao MacedoVeras, Renato PeixotoLima-Costa, Maria FernandaRamos, Luiz Roberto [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-11T07:30:09Zoai:repositorio.unifesp.br/:11600/55465Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-11T07:30:09Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Validity of questions about activities of daily living to screen for dependency in older adults |
title |
Validity of questions about activities of daily living to screen for dependency in older adults |
spellingShingle |
Validity of questions about activities of daily living to screen for dependency in older adults Reboucas, Monica [UNIFESP] Aged Activities of Daily Living Independent Living Diagnostic Self Evaluation Surveys and Questionnaires, utilization Validation Studies |
title_short |
Validity of questions about activities of daily living to screen for dependency in older adults |
title_full |
Validity of questions about activities of daily living to screen for dependency in older adults |
title_fullStr |
Validity of questions about activities of daily living to screen for dependency in older adults |
title_full_unstemmed |
Validity of questions about activities of daily living to screen for dependency in older adults |
title_sort |
Validity of questions about activities of daily living to screen for dependency in older adults |
author |
Reboucas, Monica [UNIFESP] |
author_facet |
Reboucas, Monica [UNIFESP] Coelho-Filho, Joao Macedo Veras, Renato Peixoto Lima-Costa, Maria Fernanda Ramos, Luiz Roberto [UNIFESP] |
author_role |
author |
author2 |
Coelho-Filho, Joao Macedo Veras, Renato Peixoto Lima-Costa, Maria Fernanda Ramos, Luiz Roberto [UNIFESP] |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Reboucas, Monica [UNIFESP] Coelho-Filho, Joao Macedo Veras, Renato Peixoto Lima-Costa, Maria Fernanda Ramos, Luiz Roberto [UNIFESP] |
dc.subject.por.fl_str_mv |
Aged Activities of Daily Living Independent Living Diagnostic Self Evaluation Surveys and Questionnaires, utilization Validation Studies |
topic |
Aged Activities of Daily Living Independent Living Diagnostic Self Evaluation Surveys and Questionnaires, utilization Validation Studies |
description |
OBJECTIVE: To determine the criterion validity of the activities of daily living present in functionality questionnaires in older adults for population surveys and to identify which activities are valid to quantify the real daily need for help of this population. METHODS: This is a population sample of older adults stratified by levels of functionality, according to self-perception of dependency in the activities of daily living. Self-perception was compared with the gold standard - direct observation of these activities in the household of older adults by a trained professional, blinded to the answers in the questionnaire. At the visit, it was decided if the older adult needed help to perform any of the activities of daily living for the research. The sensitivity of each activity of daily living was greater when the self-assessment that there was no need for help coincided with the assessment of the professional. Specificity indicates coincidence regarding the need for help in the activities of daily living - coefficients of sensitivity and specificity above 70% were considered as indicative of good validity. RESULTS: Self-assessments showed better sensitivity than specificity - older adults and observers agreed more on daily independency than on dependency. All activities showed sensitivity above 70%. Some activities had low (go shopping: 55%) or very low specificity (brush the hair: 33%). The best specificities were to take a shower and dress up (95.8% for both), among the personal ones, and to use transportation and perform banking transactions (78% for both), among the instrumental ones. CONCLUSIONS: Activities of daily living can be valid indicators of functional dependence. The best coefficients of validity were generally obtained for personal activities. Some activities with good sensitivities and specificities - walk 100 meters, take a shower, and lie down in and get out of the bed - can be used to classify older adults into low, average, and high need for help depending on the affected activities and, therefore, can help in the planning of health services aimed at them. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-07-17T14:03:31Z 2020-07-17T14:03:31Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.11606/S1518-8787.2017051006959 Revista De Saude Publica. Sao Paulo, v. 51, p. -, 2017. 10.11606/S1518-8787.2017051006959 WOS000410607400012.pdf 0034-8910 https://repositorio.unifesp.br/handle/11600/55465 WOS:000410607400012 |
url |
http://dx.doi.org/10.11606/S1518-8787.2017051006959 https://repositorio.unifesp.br/handle/11600/55465 |
identifier_str_mv |
Revista De Saude Publica. Sao Paulo, v. 51, p. -, 2017. 10.11606/S1518-8787.2017051006959 WOS000410607400012.pdf 0034-8910 WOS:000410607400012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista De Saude Publica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
- application/pdf |
dc.coverage.none.fl_str_mv |
Sao Paulo |
dc.publisher.none.fl_str_mv |
Revista De Saude Publica |
publisher.none.fl_str_mv |
Revista De Saude Publica |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268443746107392 |