Subjective report versus objective measurement of activities of daily living in Parkinson's disease
Identifieur interne : 004485 ( Main/Merge ); précédent : 004484; suivant : 004486Subjective report versus objective measurement of activities of daily living in Parkinson's disease
Auteurs : Lisa M. Shulman [États-Unis] ; Ingrid Pretzer-Aboff [États-Unis] ; Karen E. Anderson [États-Unis] ; Rashida Stevenson [États-Unis] ; Christopher G. Vaughan [États-Unis] ; Ann L. Gruber-Baldini [États-Unis] ; Stephen G. Reich [États-Unis] ; William J. Weiner [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-06-06.
English descriptors
- KwdEn :
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Antiparkinson Agents (administration & dosage), Antiparkinson Agents (therapeutic use), Disability Evaluation, Eating, Employment, Female, Humans, Male, Mental Status Schedule, Middle Aged, Motor Activity, Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson's disease, Reproducibility of Results, Self-Assessment, Walking, activities of daily living, disability, function, medication management, ratings.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents.
- chemical , therapeutic use : Antiparkinson Agents.
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Disability Evaluation, Eating, Employment, Female, Humans, Male, Mental Status Schedule, Middle Aged, Motor Activity, Reproducibility of Results, Self-Assessment, Walking.
Abstract
We compared subjective self‐reports with objective performance ratings of activities of daily living (ADLs) and instrumental ADLs (IADLs) in patients with Parkinson's disease (PD) and identified variables associated with discordance of ratings between these two methods. Seventy‐six PD patients completed a modified Older Americans Resources and Services scale, assessing ADLs and IADLs. These results were compared with structured performance tests of walking, eating, dressing, money, and medicine management administered in the clinic. Patient performance was rated on a five‐point Likert‐type scale, ranging from 1 = no difficulty to 5 = completely unable to perform task. Significant differences were found between patients and clinicians' ratings on all tasks except walking. On the other four tasks, paired group t tests showed that patients reported better function compared with the clinician rating of medication management (1.33 vs. 2.80), eating (1.53 vs. 1.76), dressing (1.64 vs. 1.86), and managing money (1.44 vs. 2.06). A discrepancy was found between patients subjective reporting of ADL and IADL function and objective ratings. Patients overestimated their function on four of five tasks. Further study is necessary to identify whether subjective or objective performance ratings are more reflective of actual daily function. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.20803
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<front><div type="abstract" xml:lang="en">We compared subjective self‐reports with objective performance ratings of activities of daily living (ADLs) and instrumental ADLs (IADLs) in patients with Parkinson's disease (PD) and identified variables associated with discordance of ratings between these two methods. Seventy‐six PD patients completed a modified Older Americans Resources and Services scale, assessing ADLs and IADLs. These results were compared with structured performance tests of walking, eating, dressing, money, and medicine management administered in the clinic. Patient performance was rated on a five‐point Likert‐type scale, ranging from 1 = no difficulty to 5 = completely unable to perform task. Significant differences were found between patients and clinicians' ratings on all tasks except walking. On the other four tasks, paired group t tests showed that patients reported better function compared with the clinician rating of medication management (1.33 vs. 2.80), eating (1.53 vs. 1.76), dressing (1.64 vs. 1.86), and managing money (1.44 vs. 2.06). A discrepancy was found between patients subjective reporting of ADL and IADL function and objective ratings. Patients overestimated their function on four of five tasks. Further study is necessary to identify whether subjective or objective performance ratings are more reflective of actual daily function. © 2006 Movement Disorder Society</div>
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<idno type="RBID">pubmed:16482533</idno>
<idno type="pmid">16482533</idno>
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<idno type="wicri:doubleKey">0885-3185:2006:Shulman L:subjective:report:versus</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Subjective report versus objective measurement of activities of daily living in Parkinson's disease.</title>
<author><name sortKey="Shulman, Lisa M" sort="Shulman, Lisa M" uniqKey="Shulman L" first="Lisa M" last="Shulman">Lisa M. Shulman</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. lshulman@som.umaryland.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland 21201</wicri:regionArea>
<wicri:noRegion>Maryland 21201</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pretzer Aboff, Ingrid" sort="Pretzer Aboff, Ingrid" uniqKey="Pretzer Aboff I" first="Ingrid" last="Pretzer-Aboff">Ingrid Pretzer-Aboff</name>
</author>
<author><name sortKey="Anderson, Karen E" sort="Anderson, Karen E" uniqKey="Anderson K" first="Karen E" last="Anderson">Karen E. Anderson</name>
</author>
<author><name sortKey="Stevenson, Rashida" sort="Stevenson, Rashida" uniqKey="Stevenson R" first="Rashida" last="Stevenson">Rashida Stevenson</name>
</author>
<author><name sortKey="Vaughan, Christopher G" sort="Vaughan, Christopher G" uniqKey="Vaughan C" first="Christopher G" last="Vaughan">Christopher G. Vaughan</name>
</author>
<author><name sortKey="Gruber Baldini, Ann L" sort="Gruber Baldini, Ann L" uniqKey="Gruber Baldini A" first="Ann L" last="Gruber-Baldini">Ann L. Gruber-Baldini</name>
</author>
<author><name sortKey="Reich, Stephen G" sort="Reich, Stephen G" uniqKey="Reich S" first="Stephen G" last="Reich">Stephen G. Reich</name>
</author>
<author><name sortKey="Weiner, William J" sort="Weiner, William J" uniqKey="Weiner W" first="William J" last="Weiner">William J. Weiner</name>
</author>
</analytic>
<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2006" type="published">2006</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antiparkinson Agents (administration & dosage)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Disability Evaluation</term>
<term>Eating</term>
<term>Employment</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Status Schedule</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Reproducibility of Results</term>
<term>Self-Assessment</term>
<term>Walking</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Antiparkinson Agents</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Disability Evaluation</term>
<term>Eating</term>
<term>Employment</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Status Schedule</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Reproducibility of Results</term>
<term>Self-Assessment</term>
<term>Walking</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">We compared subjective self-reports with objective performance ratings of activities of daily living (ADLs) and instrumental ADLs (IADLs) in patients with Parkinson's disease (PD) and identified variables associated with discordance of ratings between these two methods. Seventy-six PD patients completed a modified Older Americans Resources and Services scale, assessing ADLs and IADLs. These results were compared with structured performance tests of walking, eating, dressing, money, and medicine management administered in the clinic. Patient performance was rated on a five-point Likert-type scale, ranging from 1 = no difficulty to 5 = completely unable to perform task. Significant differences were found between patients and clinicians' ratings on all tasks except walking. On the other four tasks, paired group t tests showed that patients reported better function compared with the clinician rating of medication management (1.33 vs. 2.80), eating (1.53 vs. 1.76), dressing (1.64 vs. 1.86), and managing money (1.44 vs. 2.06). A discrepancy was found between patients subjective reporting of ADL and IADL function and objective ratings. Patients overestimated their function on four of five tasks. Further study is necessary to identify whether subjective or objective performance ratings are more reflective of actual daily function.</div>
</front>
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