Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care

Article

Fox, Benjamin, Henwood, Timothy, Neville, Christine and Keogh, Justin. 2014. "Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care." International Psychogeriatrics. 26 (10), pp. 1659-1667. https://doi.org/10.1017/S1041610214001124
Article Title

Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care

ERA Journal ID6329
Article CategoryArticle
AuthorsFox, Benjamin (Author), Henwood, Timothy (Author), Neville, Christine (Author) and Keogh, Justin (Author)
Journal TitleInternational Psychogeriatrics
Journal Citation26 (10), pp. 1659-1667
Number of Pages9
Year2014
Place of PublicationUnited Kingdom
ISSN1041-6102
1741-203X
Digital Object Identifier (DOI)https://doi.org/10.1017/S1041610214001124
Web Address (URL)https://www.cambridge.org/core/journals/international-psychogeriatrics/article/relative-and-absolute-reliability-of-functional-performance-measures-for-adults-with-dementia-living-in-residential-aged-care/F39898E7E30D5E54CDBB3AC8013F6280
Abstract

Background: This pilot investigation aimed to assess the relative and absolute test-retest reliability of commonly used functional performance measures in older adults with dementia residing in residential aged care facilities. Methods: A total of 12 participants were tested on the Short Physical Performance Battery (SPPB), the Balance Outcome Measure for Elder Rehab (BOOMER), hand grip strength, anthropometric measures and Bio-electric Impedance Analysis (BIA). This study utilized a seven-day test-retest evaluation. Intra-class Correlation Coefficients (ICC) were used to assess relative reliability, Typical Error of Measurement (TEM) was used to assess the absolute reliability, and Bland-Altman plots were used to assess group and individual levels of agreement. Results: With the exception of Standing Balance (ICC = 0.49), 2.4-m walk (ICC = 0.68), functional reach (ICC = 0.38), and static timed standing (ICC = 0.47), all measures demonstrated acceptable (>0.71) ICCs. However, only the anthropometric measures demonstrated acceptable levels of absolute reliability (>10% TEM). Bland-Altman analysis showed non-significant (p > 0.05) mean differences, and eight out of the 17 measures showing wide Limits of Agreement (LoA). Conclusions: Current measures of functional performance are demonstrably inappropriate for use with a population of older adults with dementia. Authors suggest aligning current measurement strategies with Item Response Theory as a way forward.

KeywordsAlzheimer's, balance, dementia, measurement, mobility, psychometrics, reliability, strength
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
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Byline AffiliationsUniversity of Queensland
Bond University
Institution of OriginUniversity of Southern Queensland
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