Exploring the Remote Administration of a Performance-Based Functional Assessment.

Performance-based assessments of instrumental activities of daily living (IADL) can detect subtle functional impairments better than self-reported questionnaires. While most performance-based IADL assessments were developed for in-person administration, remote administration could increase access to...

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Publicado en:Journal of Applied Gerontology Vol. 44; no. 6; pp. 981 - 994
Autores principales: Keleman, Audrey A., Bollinger, Rebecca M., Rodakowski, Juleen, Chang, Chih-Hung, Kehrer-Dunlap, Abigail L., Ances, Beau M., Stark, Susan L.
Formato: Artículo
Publicado: Sage Publications Inc. Jun2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Sage Publications Inc.
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        10.1177/07334648241292968
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        atl: Exploring the Remote Administration of a Performance-Based Functional Assessment.
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        au:
          Keleman, Audrey A.
          Bollinger, Rebecca M.
          Rodakowski, Juleen
          Chang, Chih-Hung
          Kehrer-Dunlap, Abigail L.
          Ances, Beau M.
          Stark, Susan L.
        affil:
          Program in Occupational Therapy, 12275 Washington University School of Medicine, St Louis, MO, USA
          Department of Occupational Therapy, 6614 University of Pittsburgh, Pittsburgh, PA, USA
          Institute for Informatics, 12275 Washington University School of Medicine, St Louis, MO, USA
          Department of Orthopaedic Surgery, 12275 Washington University School of Medicine, St Louis, MO, USA
          Department of Neurology, 12275 Washington University School of Medicine, St Louis, MO, USA
      su:
        Health self-care
        Task performance
        Activities of daily living
        Old age
        Independent living
        Differential item functioning (Research bias)
        Research funding
        Shopping
        Telemedicine
        Geriatric assessment
        Medication therapy management
        Research
        Patient aftercare
      sug:
        subj:
          Health self-care
          Task performance
          Activities of daily living
          Old age
          Home Health Care Services
          Independent living
          Differential item functioning (Research bias)
          Research funding
          Shopping
          Telemedicine
          Geriatric assessment
          Medication therapy management
          Research
          Patient aftercare
      keyword:
        cognition
        function
        instrumental activities of daily living
        remote assessment
        cognition
        function
        instrumental activities of daily living
        remote assessment
      ab: Performance-based assessments of instrumental activities of daily living (IADL) can detect subtle functional impairments better than self-reported questionnaires. While most performance-based IADL assessments were developed for in-person administration, remote administration could increase access to vulnerable older adults. This study compared in-person and remote administration of IADL tasks from the Performance Assessment of Self-Care Skills. Community-dwelling older adults completed tasks (shopping, checkbook balancing, and medication management) at baseline (in-person) and follow-up (either in-person or remote, with modifications) two years later. Scores between the two follow-up groups, change in scores from baseline to follow-up, and differential item functioning (DIF) between the two administration methods at follow-up were examined. There were no differences in scores between methods of administration, but remote tasks took longer, and one item had significant DIF (ps <.01). Clinicians found remote administration acceptable and feasible. With minor adaptations, remote administration of the three tasks was supported. Further validation research is needed.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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