Proxy reports in Parkinson's disease: Caregiver and patient self‐reports of quality of life and physical activity
Identifieur interne : 003773 ( Main/Exploration ); précédent : 003772; suivant : 003774Proxy reports in Parkinson's disease: Caregiver and patient self‐reports of quality of life and physical activity
Auteurs : Allison Fleming [États-Unis] ; Karon F. Cook [États-Unis] ; Naomi D. Nelson [États-Unis] ; Eugene C. Lai [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Caregiver, Caregivers, Confidence Intervals, Data Collection (methods), Evaluation, Female, Human, Humans, Male, Motor Activity (physiology), Nervous system diseases, PDQ‐39, Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Proxy, Quality of Life, Quality of life, Questionnaires, Sickness Impact Profile, health‐related quality of life, proxy evaluation.
- MESH :
- methods : Data Collection.
- physiology : Motor Activity.
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- Aged, Aged, 80 and over, Caregivers, Confidence Intervals, Female, Humans, Male, Proxy, Quality of Life, Questionnaires, Sickness Impact Profile.
Abstract
We evaluated patient–proxy agreement in a population of veterans with Parkinson's disease and compared levels of agreement by patient subgroups. Patient and caregiver pairs completed questionnaires composed of standard measures and additional demographic and activity questions. Participants completed the Center for Epidemiologic Studies Depression Scale (CES‐D), the PD Questionnaire 39 (PDQ‐39), and three questions regarding physical activity. Caregivers completed proxy forms of the PDQ‐39 and the physical activity questionnaire. The proxy forms asked caregivers to choose the answers that best described their “friend's/patient's situation.” The results of our comparison of patient and proxy reports of quality of life were consistent with findings in other diseases. On average, proxies rated patient disability higher and quality of life lower than did patients. However, our comparison of patient and proxy reports of frequency of exercise diverged from previously published work. Less agreement was observed between patient and proxy reports of physical activity, even though this is a more objective variable than are the domains measured by the PDQ‐39. Proxy reports may diverge appreciably from patient self‐reports. These differences should be considered in research design and clinical decision making. Alternative approaches to the measurement of patient relevant outcomes could supplement traditional, retrospective self‐reports. © 2005 Movement Disorder Society
Url:
DOI: 10.1002/mds.20592
Affiliations:
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Le document en format XML
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<term>Confidence Intervals</term>
<term>Data Collection (methods)</term>
<term>Evaluation</term>
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<front><div type="abstract" xml:lang="en">We evaluated patient–proxy agreement in a population of veterans with Parkinson's disease and compared levels of agreement by patient subgroups. Patient and caregiver pairs completed questionnaires composed of standard measures and additional demographic and activity questions. Participants completed the Center for Epidemiologic Studies Depression Scale (CES‐D), the PD Questionnaire 39 (PDQ‐39), and three questions regarding physical activity. Caregivers completed proxy forms of the PDQ‐39 and the physical activity questionnaire. The proxy forms asked caregivers to choose the answers that best described their “friend's/patient's situation.” The results of our comparison of patient and proxy reports of quality of life were consistent with findings in other diseases. On average, proxies rated patient disability higher and quality of life lower than did patients. However, our comparison of patient and proxy reports of frequency of exercise diverged from previously published work. Less agreement was observed between patient and proxy reports of physical activity, even though this is a more objective variable than are the domains measured by the PDQ‐39. Proxy reports may diverge appreciably from patient self‐reports. These differences should be considered in research design and clinical decision making. Alternative approaches to the measurement of patient relevant outcomes could supplement traditional, retrospective self‐reports. © 2005 Movement Disorder Society</div>
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