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E-grāmata: Improving the Measurement of Late-Life Disability in Population Surveys: Beyond ADLs and IADLs: Summary of a Workshop

  • Formāts: 180 pages
  • Izdošanas datums: 29-Oct-2009
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309143721
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  • Formāts: 180 pages
  • Izdošanas datums: 29-Oct-2009
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309143721

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Improving the Measurement of Late-Life Disability in Population Surveys summarizes a workshop organized to draw upon recent advances to improve the measurement of physical and cognitive disability in population surveys of the elderly population. The book questions whether or not the measures of activities of daily living and instrumental activities of daily living used in many population surveys are sufficient as the primary survey-based indicators of late-life disability. If not, should they be refined or should they be supplemented by other measures of disability in surveys? If yes, in what ways should disability measures be changed or modified to produce population estimates of late-life disability and to monitor trends? The book also discusses what further research is needed to advance this effort.

Table of Contents



Front Matter 1 Introduction 2 Challenges to Improving Measurement of Late-Life Functioning and Disability 3 Potential Methods for Revising Measures to Foster Comparability Across Subgroups 4 Improving the Validity of Cross-Population Comparisons 5 Measuring Functioning and Disability in Context 6 Research and Development Toward Improved Measures of Late-Life Disability References Appendix A: Population Survey Measures of Functioning: Strengths and Weaknesses--Barbara M. Altman Appendix B: Workshop Agenda and Presenters Appendix C: Biographical Sketches of Steering Committee Members Committee on Population Committee on National Statistics
1 Introduction 1
Background,
1
Lack of Consistency in Definition of Disability,
4
Historical Views of Disability,
6
Workshop Plan and Report Overview,
8
2 Challenges to Improving Measurement of Late-Life Functioning and Disability 11
Population Survey Measures of Functioning: Strengths and Weaknesses,
11
Developing Questions to Identify People Early in the Disablement Process,
17
Enhancing the Ascertainment of Disability,
20
Self Versus Proxy Responses in Surveys,
22
Expanding Modes of Survey Administration,
25
Discussion,
27
3 Potential Methods for Revising Measures to Foster Comparability Across Subgroups 31
Performance Measures in Surveys,
31
Improving Patient-Reported Measures Using Item Response Theory and Computer-Adaptive Testing,
36
Use of Easily Collected Biomarkers of Chronic Diseases,
40
Developing Measures of Time Use to Study Disability,
43
Discussion,
49
4 Improving the Validity of Cross-Population Comparisons 51
Additional Measures of Limitations in Cognitive Functioning and Disability,
51
Using Vignettes to Improve Cross-Population Comparability of Self-Rated Disability Measures,
55
New Approaches to Cognitive and Field Testing of Disability Measures,
59
Discussion,
65
5 Measuring Functioning and Disability in Context 69
Incorporating Assistive Technology and Home Modification Measures,
69
Incorporating Questions on Behavioral Adaptations in Functional Limitation Measures,
74
Utility of Participation Measures in Surveys,
78
Discussion,
81
6 Research and Development Toward Improved Measures of Late-Life Disability 85
Panel Comments,
85
Discussion,
89
Concluding Comments,
92
References 93
Appendixes
A Population Survey Measures of Functioning: Strengths and Weaknesses
99
Barbara M. Altman
B Workshop Agenda and Presenters
157
C Biographical Sketches of Steering Committee Members
163