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Environmental influences on the cumulative structure of instrumental ADL: an example in osteoporosis patients in a Swedish rural district

Iwarsson, Susanne LU (1998) In Clinical Rehabilitation 12(3). p.221-227
Abstract
INTRODUCTION: The ADL Staircase is a hierarchical instrument for the assessment of dependence/independence in personal and instrumental activities of daily living (P-ADL and I-ADL). Previous results indicated that environmental factors might affect assessment results, and revisions for use in rural areas have been tested with a gerontological population sample. OBJECTIVE: To investigate further the cumulative structure of I-ADL in osteoporosis patients in a Swedish rural district. METHOD: Patients were interviewed consecutively concerning their pre-injury dependence in P-ADL and I-ADL, using a revised version of the ADL Staircase (n = 276). RESULTS: In contrast to results from urban areas, 'transportation' was the activity generating the... (More)
INTRODUCTION: The ADL Staircase is a hierarchical instrument for the assessment of dependence/independence in personal and instrumental activities of daily living (P-ADL and I-ADL). Previous results indicated that environmental factors might affect assessment results, and revisions for use in rural areas have been tested with a gerontological population sample. OBJECTIVE: To investigate further the cumulative structure of I-ADL in osteoporosis patients in a Swedish rural district. METHOD: Patients were interviewed consecutively concerning their pre-injury dependence in P-ADL and I-ADL, using a revised version of the ADL Staircase (n = 276). RESULTS: In contrast to results from urban areas, 'transportation' was the activity generating the most dependence among the respondents. In addition, different gender-specific cumulative orders among I-ADL were demonstrated. Guttman's scaling analysis confirmed the cumulativity of the revised scale (C of R = 0.94/0.97, C of S = 0.77/0.88). CONCLUSION: Environmental factors influence the validity of instruments as well as the prevalence of disability. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Rehabilitation
volume
12
issue
3
pages
221 - 227
publisher
SAGE Publications
external identifiers
  • pmid:9688038
  • scopus:0031824740
ISSN
1477-0873
DOI
10.1191/026921598670072510
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)
id
5c80fc28-c255-4eae-af25-526299d62a54 (old id 1113092)
date added to LUP
2016-04-01 11:52:13
date last changed
2025-10-14 10:17:42
@article{5c80fc28-c255-4eae-af25-526299d62a54,
  abstract     = {{INTRODUCTION: The ADL Staircase is a hierarchical instrument for the assessment of dependence/independence in personal and instrumental activities of daily living (P-ADL and I-ADL). Previous results indicated that environmental factors might affect assessment results, and revisions for use in rural areas have been tested with a gerontological population sample. OBJECTIVE: To investigate further the cumulative structure of I-ADL in osteoporosis patients in a Swedish rural district. METHOD: Patients were interviewed consecutively concerning their pre-injury dependence in P-ADL and I-ADL, using a revised version of the ADL Staircase (n = 276). RESULTS: In contrast to results from urban areas, 'transportation' was the activity generating the most dependence among the respondents. In addition, different gender-specific cumulative orders among I-ADL were demonstrated. Guttman's scaling analysis confirmed the cumulativity of the revised scale (C of R = 0.94/0.97, C of S = 0.77/0.88). CONCLUSION: Environmental factors influence the validity of instruments as well as the prevalence of disability.}},
  author       = {{Iwarsson, Susanne}},
  issn         = {{1477-0873}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{221--227}},
  publisher    = {{SAGE Publications}},
  series       = {{Clinical Rehabilitation}},
  title        = {{Environmental influences on the cumulative structure of instrumental ADL: an example in osteoporosis patients in a Swedish rural district}},
  url          = {{http://dx.doi.org/10.1191/026921598670072510}},
  doi          = {{10.1191/026921598670072510}},
  volume       = {{12}},
  year         = {{1998}},
}