ArticleAge and ageing2022
Self-perceived functioning and (instrumental) activities of daily living questionnaires after a hip fracture: Do they tell the same story?
Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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
3 citing papers in PubMed.
- Predictors of independence in older people: A longitudinal, population-based study using the CARE75 + cohort.BMC geriatrics · 2025Article
- Older Adults' Perspectives of Independence Through Time: Results of a Longitudinal Interview Study.The Gerontologist · 2024Article
- Functional Status of Patients over 65 Years Old Intervened on for a Hip Fracture One Year after the Operation.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
9 authors.
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Abstract
background(Instrumental) activities of daily living ((I)ADL) questionnaires are often used as a measure of functioning for different purposes. Depending on the purpose, a measurement of functioning that includes subjective patient perspectives can be relevant. However, it is unclear to what extent (I)ADL instruments capture self-perceived functioning.
objectiveExplore what functioning means to older persons after a hip fracture and assess the extent to which (I)ADL instruments align with self-perceived functioning.
designQualitative interview study with framework analysis.
settingProspective cohort study on recovery after a hip fracture among older persons in a hospital in a large city in the west of the Netherlands. SUBJECTS: Eighteen home-dwelling older persons (≥70 years) who had a hip fracture 6-12 months ago.
methodsTelephone interviews about functioning before and after the hip fracture were coded and analysed using the framework method.
resultsThe activities mentioned by participants to be part of their self-perceived functioning could be split into activities necessary to maintain the desired level of independence, and more personal activities that were of value to participants. Both the 'independence activities' and the 'valued activities' mentioned went beyond the activities included in (I)ADL questionnaires. Due to various coping strategies, limitations in activities that are measured in the (I)ADL questionnaires did not necessarily lead to worse self-perceived functioning.
conclusionSelf-perceived functioning differs from functioning measured with (I)ADL questionnaires in the items included and the weighing of limitations in activities. Thus, (I)ADL instruments alone are not enough to measure functioning from the perspective of the older person.
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