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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 Inc.
external identifiers
  • pmid:9688038
  • scopus:0031824740
ISSN
1477-0873
DOI
10.1191/026921598670072510
language
English
LU publication?
yes
id
5c80fc28-c255-4eae-af25-526299d62a54 (old id 1113092)
date added to LUP
2008-07-14 11:44:22
date last changed
2017-11-05 03:33:58
@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 Inc.},
  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},
  volume       = {12},
  year         = {1998},
}