Journals of Gerontology Series B: Psychological Sciences and Social Sciences, Vol 51, Issue 5 P254-P260, Copyright © 1996 by The Gerontological Society of America

ARTICLES

The assessment of ADL among frail elderly in an interview survey: self- report versus performance-based tests and determinants of discrepancies

GI Kempen, N Steverink, J Ormel and DJ Deeg
Northern Centre for Health Care Research, University of Groningen, The Netherlands. [email protected]

The impact of three sociodemographic, two cognitive, two affective, and four personality measures on the discrepancies between self-reported and performance-based ADL in a sample of 753 frail elderly is studied by means of multiple regression analyses. Underestimation (i.e., lower self-reported levels of ADL compared to performance-based levels) occurs, in particular, among subjects with low perceptions of physical competence and mastery or personal control, and high levels of depressive symptomatology. In contrast, the role of cognitive functioning and sociodemographic variables in the discrepancies is a minor one. Although self-report ADL measures are easier to administer and less sensitive to nonresponse than performance-based ADL measures, the confounding effects of perceived physical competence, mastery, and depressive symptomatology on self-reported ADL should be considered in any application of self-report measures of ADL among frail elderly.

This article has been cited by other articles: (Search Google Scholar for Other Citing Articles)

				C. M Stretton, N. K Latham, K. N Carter, A. C Lee, and C. S Anderson Determinants of physical health in frail older people: the importance of self-efficacy Clinical Rehabilitation, April 1, 2006; 20(4): 357 - 366. [Abstract] [PDF]

				M. Minkler, E. Fuller-Thomson, and J. M. Guralnik Gradient of Disability across the Socioeconomic Spectrum in the United States N. Engl. J. Med., August 17, 2006; 355(7): 695 - 703. [Abstract] [Full Text] [PDF]

				L. C. McGuire, E. S. Ford, and U. A. Ajani Cognitive Functioning as a Predictor of Functional Disability in Later Life Am J Geriatr Psychiatry, January 1, 2006; 14(1): 36 - 42. [Abstract] [Full Text] [PDF]

				Y. Jang, J. A. Mortimer, W. E. Haley, and A. B. Graves The Role of Neuroticism in the Association Between Performance-Based and Self-Reported Measures of Mobility J Aging Health, November 1, 2002; 14(4): 495 - 508. [Abstract] [PDF]

				R. Angel, G. V. Ostir, M. L. Frisco, and K. S. Markides Comparison of a Self-Reported and a Performance-Based Assessment of Mobility in the Hispanic Established Population for Epidemiological Studies of the Elderly Research on Aging, November 1, 2000; 22(6): 715 - 737. [Abstract] [PDF]

				P. L. Owens, E. H. Bradley, S. M. Horwitz, C. M. Viscoli, W. N. Kernan, L. M. Brass, P. M. Sarrel, and R. I. Horwitz Clinical Assessment of Function among Women with a Recent Cerebrovascular Event: A Self-Reported versus Performance-Based Measure Ann Intern Med, June 4, 2002; 136(11): 802 - 811. [Abstract] [Full Text] [PDF]

				T. Parkai[T, D. J. H. Deeg, R. J. Bosscher, and L. L. J. Launer Physical Activity and Self-Rated Health among 55- to 89-Year-Old Dutch People J Aging Health, August 1, 1998; 10(3): 311 - 326. [Abstract] [PDF]

				G. I. J. M. Kempen, J. Ormel, W. Scaf-Klomp, E. van Sonderen, A. V. Ranchor, and R. Sanderman The Role of Perceived Control in the Process of Older Peoples' Recovery of Physical Functions After Fall-Related Injuries: A Prospective Study J. Gerontol. B. Psychol. Sci. Soc. Sci., January 1, 2003; 58(1): P35 - 41. [Abstract] [Full Text] [PDF]

				C. F. M. de Leon, J. M. Guralnik, and K. Bandeen-Roche Short-Term Change in Physical Function and Disability: The Women's Health and Aging Study J. Gerontol. B. Psychol. Sci. Soc. Sci., November 1, 2002; 57(6): S355 - 365. [Abstract] [Full Text] [PDF]