Evidence map›Paper›PMID 24476510›Full record

SynthesisBMC geriatrics2014

Psychometric properties of the Late-Life Function and Disability Instrument: a systematic review.

Marla K Beauchamp, Catherine T Schmidt, Mette M Pedersen, Jonathan F Bean, Alan M Jette

Abstract readSystematic Review
In one paragraph

Synthesis in BMC geriatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. The Association of Mobility Determinants and Life Space Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
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  14. Association of Sleep Quality With Activity and Participation in Older Adults.Archives of physical medicine and rehabilitation · 2026
    Article
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  16. Intrinsic capacity in Lewy body dementia: a review.The Journal of frailty & aging · 2025
    Review
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  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marla K BeauchampDepartment of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Outpatient Center Cambridge, Cambridge, Massachusetts, USA. mkbeauchamp@partners.org.
Catherine T Schmidt
Mette M Pedersen
Jonathan F Bean
Alan M Jette

Funding

Improving Outcome Measurement for Medical Rehabilitaiton Clinical TrialsR24HD065688 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JETTE, ALAN MAURICE, ZAFONTE, ROSS DENNIS · 2010 to 2014
$3.9M
A Research Mentoring Program in the Rehabilitative Care of Older AdultsK24HD070966 · NICHD · SPAULDING REHABILITATION HOSPITAL · PI BEAN, JONATHAN F · 2012 to 2016
$793k
CIHRNICHD NIH HHS 1K24HD070966-01NICHD NIH HHS 5R24HD065688NICHD NIH HHS K24 HD070966PHS HHS H133P120001
6 · The paper itself

Abstract

backgroundThe choice of measure for use as a primary outcome in geriatric research is contingent upon the construct of interest and evidence for its psychometric properties. The Late-Life Function and Disability Instrument (LLFDI) has been widely used to assess functional limitations and disability in studies with older adults. The primary aim of this systematic review was to evaluate the current available evidence for the psychometric properties of the LLFDI.

methodsPublished studies of any design reporting results based on administration of the original version of the LLFDI in community-dwelling older adults were identified after searches of 9 electronic databases. Data related to construct validity (convergent/divergent and known-groups validity), test-retest reliability and sensitivity to change were extracted. Effect sizes were calculated for within-group changes and summarized graphically.

resultsSeventy-one studies including 17,301 older adults met inclusion criteria. Data supporting the convergent/divergent and known-groups validity for both the Function and Disability components were extracted from 30 and 18 studies, respectively. High test-retest reliability was found for the Function component, while results for the Disability component were more variable. Sensitivity to change of the LLFDI was confirmed based on findings from 25 studies. The basic lower extremity subscale and overall summary score of the Function component and limitation dimension of the Disability component were associated with the strongest relative effect sizes.

conclusionsThere is extensive evidence to support the construct validity and sensitivity to change of the LLFDI among various clinical populations of community-dwelling older adults. Further work is needed on predictive validity and values for clinically important change. Findings from this review can be used to guide the selection of the most appropriate LLFDI subscale for use an outcome measure in geriatric research and practice.

Indexed as

Activities of Daily LivingDisability EvaluationAged, 80 and overGeriatric AssessmentHumansPersons with DisabilitiesPsychometrics

Identifiers

PMID24476510
PMCPMC3909447

What OpenQuestion holds

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Registered trials

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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.