Translation, Validation, and Reliability of the Dutch Late-Life Function and Disability Instrument Computer Adaptive Test.

Background. Adequate and user-friendly instruments for assessing physical function and disability in older adults are vital for estimating and predicting health care needs in clinical practice. The Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDI-CAT) is a promising instrum...

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Publicado en:Physical Therapy Vol. 96; no. 9; pp. 1430 - 1438
Autores principales: Arensman, Remco M., Pisters, Martijn F., de Man-van Ginkel, Janneke M.
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2016
      vid: 96
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      pub: Oxford University Press / USA
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        10.2522/ptj.20150265
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        atl: Translation, Validation, and Reliability of the Dutch Late-Life Function and Disability Instrument Computer Adaptive Test.
      aug:
        au:
          Arensman, Remco M.
          Pisters, Martijn F.
          de Man-van Ginkel, Janneke M.
        affil: Physical Therapy Research, Department of Rehabilitation, Nursing Science and Sport, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands
      sug:
        subj:
          Instrument Validation
          Clinical Assessment Tools Evaluation
          Disability Evaluation
          Computerized Adaptive Testing
          Translations
          Netherlands
          Clinical Assessment Tools
          Questionnaires
          Scales
          Validation Studies
          Cross Sectional Studies
          Pearson's Correlation Coefficient
          Intraclass Correlation Coefficient
          Test-Retest Reliability
          Convenience Sample
          Data Analysis Software
          Concurrent Validity
          Spearman's Rank Correlation Coefficient
          Descriptive Statistics
          Confidence Intervals
          Aged
          Aged, 80 and Over
          Female
          Male
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Background. Adequate and user-friendly instruments for assessing physical function and disability in older adults are vital for estimating and predicting health care needs in clinical practice. The Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDI-CAT) is a promising instrument for assessing physical function and disability in gerontology research and clinical practice. Objective. The aims of this study were: (1) to translate the LLFDI-CAT to the Dutch language and (2) to investigate its validity and reliability in a sample of older adults who spoke Dutch and dwelled in the community. Design. For the assessment of validity of the LLFDI-CAT, a cross-sectional design was used. To assess reliability, measurement of the LLFDI-CAT was repeated in the same sample. Methods. The item bank of the LLFDI-CAT was translated with a forward-backward procedure. A sample of 54 older adults completed the LLFDI-CAT, World Health Organization Disability Assessment Schedule 2.0, RAND 36-Item Short-Form Health Survey physical functioning scale (10 items), and 10-Meter Walk Test. The LLFDI-CAT was repeated in 2 to 8 days (mean=4.5 days). Pearson's r and the intraclass correlation coefficient (ICC) (2,1) were calculated to assess validity, group-level reliability, and participant-level reliability. Results. A correlation of .74 for the LLFDI-CAT function scale and the RAND 36-Item Short-Form Health Survey physical functioning scale (10 items) was found. The correlations of the LLFDI-CAT disability scale with the World Health Organization Disability Assessment Schedule 2.0 and the 10-Meter Walk Test were -.57 and -.53, respectively. The ICC (2,1) of the LLFDI-CAT function scale was .84, with a group-level reliability score of .85. The ICC (2,1) of the LLFDI-CAT disability scale was .76, with a group-level reliability score of .81. Limitations. The high percentage of women in the study and the exclusion of older adults with recent joint replacement or hospitalization limit the generalizability of the results. Conclusions. The Dutch LLFDI-CAT showed strong validity and high reliability when used to assess physical function and disability in older adults dwelling in the community.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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