ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024
An Incomplete Model of Disability: Discrepancies Between Performance-Based and Self-Reported Measures of Functioning.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- Association of oral diadochokinesis with activities of daily living in older adults: a cross-sectional observational study.BMC oral health · 2026Observational
- Harmonization of self-reported and performance-based measures of vision using inverse probability weighting: an example using vision and depression in NHATS, CLSA, and LASI.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Assessing Functional Cognition in People on Maintenance Hemodialysis Using Performance-Based Testing.Kidney360 · 2026Article
- Dual sensory loss and cognitive performance among older adults in India.Journal of Alzheimer's disease : JAD · 2026Article
- Frailty-Informed Decision Making During Acute Health Crises: A Competency-Based Framework for Person-Centered Care.Journal of clinical medicine · 2025Review
- Development and validation of the mobility in middle-age questionnaire.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- What matters in rehabilitation: a mixed methods study of critical success factors from the perspectives of patients and healthcare professionals.European journal of translational myology · 2025Article
- Visual impairment, age-related eye disease, and sleep dysfunction in older adults.Eye (London, England) · 2025Article
- Association between visual impairment and recurrent hospitalizations in older US adults.Journal of the American Geriatrics Society · 2025Article
- Functional limitation among middle age and older adults: Exploring cross-national gender disparities.Archives of gerontology and geriatrics · 2024Article
- Association between vision impairment and increased prevalence of falls in older US adults.Journal of the American Geriatrics Society · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAppropriate conceptualization and measurement of disability are critical for population-focused resource allocation and policy development. Self-reported and performance-based measures of functioning have been used to represent disability. Variation in environmental context or self-perception of ability may influence self-reports; however, performance-based measures that attempt to control environmental context may not accurately capture real-world aspects of functioning. This study examined the agreement between self-report and performance-based measures of functioning within 4 domains among older adults.
methodsCross-sectional data from the 2021 National Health and Aging Trends Study was used. Self-reported and performance-based measures of functioning were assessed for vision, hearing, mobility, and memory domains. We examined the diagnostic characteristics of performance-based versus self-reported measures using sensitivity, specificity, and receiver operating characteristics curves. Differences in the agreement of these measures across sociodemographic groups were investigated using logistic regression.
resultsAmong 2 442 respondents 71 years and older (mean 78.5 ± 5.3, 56% female participants), performance measures of hearing and mobility had high sensitivity (89% and 91%, respectively) and low/moderate specificity (36% and 63%, respectively). The sensitivity and specificity of vision measures were 71%. Memory measures had high specificity (89%) and low sensitivity (28%). Performance-based discrimination ranged from 0.59 (memory) to 0.78 (mobility). Agreement varied across sociodemographic factors.
conclusionsPerformance measures diverge from self-reported functioning among older adults. Discordance may reveal opportunities for environmental intervention where participants' performance does not capture the full extent of barriers in their daily lives. Additional research is needed to investigate individual and environmental factors which could explain the observed differences.
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