Evidence map›Paper›PMID 22248806›Full record

ArticleAmerican journal of physical medicine & rehabilitation2012

Staging activity limitation and participation restriction in elderly community-dwelling persons according to difficulties in self-care and domestic life functioning.

Margaret G Stineman, John T Henry-Sánchez, Jibby E Kurichi, Qiang Pan, Dawei Xie, Debra Saliba, Zi Zhang, Joel E Streim

Erratum issuedAbstract readValidation Study
In one paragraph

Article in American journal of physical medicine & rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Disability Stages and Trouble Getting Needed Health Care Among Medicare Beneficiaries.American journal of physical medicine & rehabilitation · 2017
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

8 authors.

Margaret G StinemanDepartment of Physical Medicine and Rehabilitation, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6021, USA.
John T Henry-Sánchez
Jibby E Kurichi
Qiang Pan
Dawei Xie
Debra Saliba
Zi Zhang
Joel E Streim

Funding

RESEARCH TRAINING IN NEUROLOGIC REHABILITATIONT32HD007425 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SALCIDO, RICHARD · 1992 to 2011
$2.4M
Impairment Activity StagingR01AG032420 · NIA · UNIVERSITY OF PENNSYLVANIA · PI STINEMAN, MARGARET GRACE · 2009 to 2010
$686k
NIA NIH HHS AG032420-01A1NIA NIH HHS R01 AG032420NICHD NIH HHS T32 HD007425NICHD NIH HHS T32-HD-007425
6 · The paper itself

Abstract

objectiveThis study aimed to describe the conceptual foundation and development of an activity limitation and participation restriction staging system for community-dwelling people 70 yrs or older according to the severity and types of self-care (activities of daily living [ADLs]) and domestic life (instrumental ADLs (IADLs)) limitations experienced.

designData from the second Longitudinal Study of Aging (N = 9447) were used to develop IADL stages through the analyses of self- and proxy-reported difficulties in performing IADLs. An analysis of activity limitation profiles identified hierarchical thresholds of difficulty that defined each stage. IADL stages are combined with ADL stages to profile status for independent living.

resultsIADL stages define five ordered thresholds of increasing activity limitations and a ``not relevant'' stage for those who normally have someone else do those activities. Approximately 42% of the population experience IADL limitations. To achieve a stage, a person must meet or exceed stage-specific thresholds of retained functioning defined for each activity. Combined ADL and IADL stages define 29 patterns of activity limitations expressing the individual's potential for participating in life situations pertinent to self-care and independent community life.

conclusionsADL and IADL stages can serve to distinguish between groups of people according to both severity and the types of limitations experienced during home or outpatient assessments, in population surveillance, and in research.

Indexed as

Activities of Daily LivingDisability EvaluationSelf CareAgedHumansLongitudinal StudiesMobility LimitationSeverity of Illness Index

Identifiers

PMID22248806
PMCPMC3298888

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.