Title page for ETD etd-1214101-190232


Type of Document Master's Thesis
Author Dunbar, Amy Elizabeth
Author's Email Address amydunbar@juno.com
URN etd-1214101-190232
Title A Comparison of Self-Report and Performance-Based Measures of Physical Function in Older Adults
Degree Master of Science (M.S.)
Department Kinesiology
Advisory Committee
Advisor Name Title
Robert Wood Committee Chair
Melinda Solmon Committee Member
Michael Welsch Committee Member
Keywords
  • qol
  • physical function
  • older adults
  • adls
Date of Defense 2001-12-10
Availability unrestricted
Abstract
The purpose of this thesis was to examine the associations between perceived quality of life (QOL)and self-report and performance-based measures of function. An additional purpose of this thesis was to determine whether the afore-mentioned tests could differentiate between independent-living and assisted-living older adults. A total of 36 residents, independent-living (n=22) and assisted-living (n=14), of a continuing care retirement community (age range=65-94) completed the study. Perceived QOL was assessed using the SF-36 and Nottingham Health Profile. The Barthel Index and Functional Status Index (FSI) were used to assess Activities of Daily Living (ADLs). Physical function was measured using the reduced Continuous Scale-Physical Functional Performance test (CS-PFP 10). Test/retest data (n=10) revealed good stability of the CS-PFP 10 items (ICCs=0.91-0.99). There were significant associations with age and both ADLs and the CS-PFP 10 composite score. There were also significant associations with dwelling status and both the individual tasks and composite score of the CS-PFP 10 and ADLs, but not with perceived QOL (except for NHP-PM). The "scarves" and composite score of the CS-PFP 10 were related to the physical composite score of the SF-36 (p<.005). In addition, the FSI pain and difficulty indicators were also closely asssociated with the SF-36 PCS score (p<.05). Multiple regression of these predictors on the SF-36 PCS score revealed that the "scarves" and FSI pain indicator items provide a strong model of the PCS component of the SF-36 (F=9.51, p<.001). The results of this investigation suggest that the combination of objective and subjective measures of function are associated with the perceived physical aspects of QOL in older adults.
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