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The Pittsburgh Fatigability Scale for Older Adults: Development and Validation

Identifieur interne : 000E70 ( Main/Exploration ); précédent : 000E69; suivant : 000E71

The Pittsburgh Fatigability Scale for Older Adults: Development and Validation

Auteurs : Nancy W. Glynn [États-Unis] ; Adam J. Santanasto [États-Unis] ; Eleanor M. Simonsick [États-Unis] ; Robert M. Boudreau [États-Unis] ; Scott R. Beach [États-Unis] ; Richard Schulz [États-Unis] ; Anne B. Newman [États-Unis]

Source :

RBID : PMC:4971882

Descripteurs français

English descriptors

Abstract

OBJECTIVES

To describe the development of the Pittsburgh Fatigability Scale (PFS) and establish its reliability and concurrent and convergent validity against performance measures.

DESIGN

Cross-sectional.

SETTING

University of Pittsburgh, Pittsburgh, Pennsylvania.

PARTICIPANTS

Scale development sample: 1,013 individuals aged 60 and older from two registries; validation sample: 483 adults aged 60 and older from the Baltimore Longitudinal Study of Aging (BLSA).

MEASUREMENTS

The scale development sample and BLSA participants self-administered an initial 26-item perceived fatigability scale. BLSA participants also completed measures of performance fatigability (perceived exertion from a standard treadmill task and performance deterioration from a fast-paced long-distance corridor walk), a 6-m usual-paced corridor walk, and five timed chair stands.

RESULTS

Principal components analysis with varimax rotation reduced the 26-item scale to the 10-item PFS. The PFS showed strong internal consistency (Cronbach’s alpha 0.88) and excellent test–retest reliability (intraclass correlation 0.86). In the validation sample, PFS scores, adjusted for age, sex, and race, were greater for those with high performance fatigability, slow gait speed, worse physical function, and lower fitness, with differences between high and low fatigability ranging from 3.2 to 5.1 points (P < .001).

CONCLUSION

The 10-item PFS physical fatigability score is a valid and reliable measure of perceived fatigability in older adults and can serve as an adjunct to performance- based fatigability measures for identifying older adults at risk of mobility limitation in clinical and research settings.


Url:
DOI: 10.1111/jgs.13191
PubMed: 25556993
PubMed Central: 4971882


Affiliations:


Links toward previous steps (curation, corpus...)


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<sec id="S1">
<title>OBJECTIVES</title>
<p id="P1">To describe the development of the Pittsburgh Fatigability Scale (PFS) and establish its reliability and concurrent and convergent validity against performance measures.</p>
</sec>
<sec id="S2">
<title>DESIGN</title>
<p id="P2">Cross-sectional.</p>
</sec>
<sec id="S3">
<title>SETTING</title>
<p id="P3">University of Pittsburgh, Pittsburgh, Pennsylvania.</p>
</sec>
<sec id="S4">
<title>PARTICIPANTS</title>
<p id="P4">Scale development sample: 1,013 individuals aged 60 and older from two registries; validation sample: 483 adults aged 60 and older from the Baltimore Longitudinal Study of Aging (BLSA).</p>
</sec>
<sec id="S5">
<title>MEASUREMENTS</title>
<p id="P5">The scale development sample and BLSA participants self-administered an initial 26-item perceived fatigability scale. BLSA participants also completed measures of performance fatigability (perceived exertion from a standard treadmill task and performance deterioration from a fast-paced long-distance corridor walk), a 6-m usual-paced corridor walk, and five timed chair stands.</p>
</sec>
<sec id="S6">
<title>RESULTS</title>
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<italic>P</italic>
< .001).</p>
</sec>
<sec id="S7">
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<p id="P7">The 10-item PFS physical fatigability score is a valid and reliable measure of perceived fatigability in older adults and can serve as an adjunct to performance- based fatigability measures for identifying older adults at risk of mobility limitation in clinical and research settings.</p>
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