ArticleArchives of physical medicine and rehabilitation2013
Comparison of complex versus simple activity of daily living staging: validation of simple stages.
Article in Archives of physical medicine and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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.
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Who cites it
4 citing papers in PubMed.
- A Multidimensional, Person-Centered Framework for Functional Assessment in Dementia: Insights from the 'What', 'How', 'To Whom', and 'How Much' Questions.Journal of Alzheimer's disease : JAD · 2024Review
- Potentially Avoidable Hospitalizations among People at Different Activity of Daily Living Limitation Stages.Health services research · 2017Article
- Identifying neuropsychiatric disorders in the Medicare Current Beneficiary Survey: the benefits of combining health survey and claims data.BMC health services research · 2016Article
- Activity Limitation Stages empirically derived for Activities of Daily Living (ADL) and Instrumental ADL in the U.S. Adult community-dwelling Medicare population.PM & R : the journal of injury, function, and rehabilitation · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo compare activities of daily living (ADL) staging based on 2-level responses to ADL difficulty questions (simple ADL stages) with ADL staging based on 4-level ADL question responses (complex ADL stages).
designAnalysis of the Second Longitudinal Study of Aging, a prospective cohort study, using descriptive statistics and logistic regression.
settingParticipants' homes.
participantsCommunity-dwelling persons (N=9447) aged ≥70 years in 1994.
interventionsNot applicable.
main outcome measures(1) Agreement and face validity: baseline simple ADL stage; (2) construct validity: baseline health, difficulty, and need characteristics; (3) prognostic comparison (determined at the Wave 2 interview): primary-nursing home use and/or death; secondary-death.
resultsThe systems showed good agreement (κ=.75). The simple ADL stages stratified people into distinct groups and reflected the expected stepwise increases from stage 0 to stage IV in health and need characteristics, such as the prevalence of home-related challenges (2.9%-84.5%) and perceived need for home modifications (2.1%-33.6%). In comparing the prognostic ability using the primary outcome, the complex system model demonstrated slightly increased discrimination between milder stages and a slightly higher C statistic (.666 vs .664).
conclusionsAlthough complex staging appears slightly better at classifying people into distinct prognostic strata with respect to nursing home use and/or death at Wave 2, simple ADL stages demonstrate strong, clinically relevant associations with health and need characteristics.
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