Self-report versus performance measure in gauging level of function with multiple sclerosis

Abstract Background Multiple sclerosis (MS) is a debilitating, progressive disease with no known cure. Symptoms vary widely for persons with MS and measuring levels of fine motor, gross motor and cognitive function is a large part of assessing disease progression in both clinical and research settin...

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Veröffentlicht in:Disability and health journal 2014-10, Vol.7 (4), p.413-418
Hauptverfasser: Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N, Morris, Marian, M.P.H., R.N, Becker, Heather, Ph.D, Chen, Lynn, Ph.D, Lee, Hwa Young, Ph.D
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container_end_page 418
container_issue 4
container_start_page 413
container_title Disability and health journal
container_volume 7
creator Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N
Morris, Marian, M.P.H., R.N
Becker, Heather, Ph.D
Chen, Lynn, Ph.D
Lee, Hwa Young, Ph.D
description Abstract Background Multiple sclerosis (MS) is a debilitating, progressive disease with no known cure. Symptoms vary widely for persons with MS and measuring levels of fine motor, gross motor and cognitive function is a large part of assessing disease progression in both clinical and research settings. While self-report measures of function have advantages in cost and ease of administration, questions remain about the accuracy of such measures and the relationship of self-reports of functioning to performance measures of function. Objective The purpose of this study was to compare scores on a self-report measure of functional limitations with MS with a performance-based measure at five different time points. Methods Sixty participants in an ongoing longitudinal study completed two measures of function annually over a five-year period – the self-report Incapacity Status Scale and the MS Functional Composite (MSFC), a performance test. Pearson correlations were used to explore the association of self-report and performance scores. Results There were moderate to strong correlations among the ISS total ( r  = −.53 to −.63, p  
doi_str_mv 10.1016/j.dhjo.2014.03.003
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Symptoms vary widely for persons with MS and measuring levels of fine motor, gross motor and cognitive function is a large part of assessing disease progression in both clinical and research settings. While self-report measures of function have advantages in cost and ease of administration, questions remain about the accuracy of such measures and the relationship of self-reports of functioning to performance measures of function. Objective The purpose of this study was to compare scores on a self-report measure of functional limitations with MS with a performance-based measure at five different time points. Methods Sixty participants in an ongoing longitudinal study completed two measures of function annually over a five-year period – the self-report Incapacity Status Scale and the MS Functional Composite (MSFC), a performance test. Pearson correlations were used to explore the association of self-report and performance scores. Results There were moderate to strong correlations among the ISS total ( r  = −.53 to −.63, p  &lt; .01) and subscale scores of gross ( r  = .79 to .87; p  &lt; .01)) and fine ( r  = .47 to .69; p  &lt; .01) motor function and the corresponding MSFC performance measure. The pattern of change over time in most scores on self-report and performance measures was similar. Conclusion Findings suggest that the self-report measure examined here, which has advantages in terms of feasibility of administration and patient burden, does relate to performance measurement, particularly in the area of gross motor function, but it may not adequately reflect cognitive function.</description><identifier>ISSN: 1936-6574</identifier><identifier>EISSN: 1876-7583</identifier><identifier>DOI: 10.1016/j.dhjo.2014.03.003</identifier><identifier>PMID: 25224981</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Disability Evaluation ; Disabled Persons ; Female ; Functional limitations ; Humans ; Internal Medicine ; Longitudinal Studies ; Male ; Middle Aged ; Multiple Sclerosis ; Performance testing ; Self Report</subject><ispartof>Disability and health journal, 2014-10, Vol.7 (4), p.413-418</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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Symptoms vary widely for persons with MS and measuring levels of fine motor, gross motor and cognitive function is a large part of assessing disease progression in both clinical and research settings. While self-report measures of function have advantages in cost and ease of administration, questions remain about the accuracy of such measures and the relationship of self-reports of functioning to performance measures of function. Objective The purpose of this study was to compare scores on a self-report measure of functional limitations with MS with a performance-based measure at five different time points. Methods Sixty participants in an ongoing longitudinal study completed two measures of function annually over a five-year period – the self-report Incapacity Status Scale and the MS Functional Composite (MSFC), a performance test. Pearson correlations were used to explore the association of self-report and performance scores. Results There were moderate to strong correlations among the ISS total ( r  = −.53 to −.63, p  &lt; .01) and subscale scores of gross ( r  = .79 to .87; p  &lt; .01)) and fine ( r  = .47 to .69; p  &lt; .01) motor function and the corresponding MSFC performance measure. The pattern of change over time in most scores on self-report and performance measures was similar. Conclusion Findings suggest that the self-report measure examined here, which has advantages in terms of feasibility of administration and patient burden, does relate to performance measurement, particularly in the area of gross motor function, but it may not adequately reflect cognitive function.</description><subject>Activities of Daily Living</subject><subject>Disability Evaluation</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Functional limitations</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis</subject><subject>Performance testing</subject><subject>Self Report</subject><issn>1936-6574</issn><issn>1876-7583</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kktv1TAQhSMEoqXwB1ggL9kk-BUnkVAlVPGSKrEorFiMfJ3JvQ6OHezkVv33OLqlAhasPJLPOR7PN0XxktGKUabejFV_GEPFKZMVFRWl4lFxztpGlU3dise57oQqVd3Is-JZSiOlinYte1qc8Zpzmcvz4vsNuqGMOIe4kCPGtCYyYxxCnLQ3SCbUaY1IrCd7ve6t3xOHR3QkDGRYvVls8OTWLgcyrW6xs0OSjMMYkk3PiyeDdglf3J8XxbcP779efSqvv3z8fPXuujR1S5dSDNrUqBSvZd0hFbLhlMtGoOZ9y5lQvZLdTvZM4w7VYDjVwvRKSckMl6oTF8XlKXdedxP2Bv0StYM52knHOwjawt833h5gH44g2ZYicsDr-4AYfq6YFphsMuic9hjWBKxWXKk88zpL-Ulq8hdTxOHhGUZhowIjbFRgowJUQKaSTa_-bPDB8htDFrw9CTCP6WgxQjIW8_x7G9Es0Af7__zLf-zGWW-Ndj_wDtMY1ugzAGCQOFC42fZiWwsmKaVScvELdKS09Q</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N</creator><creator>Morris, Marian, M.P.H., R.N</creator><creator>Becker, Heather, Ph.D</creator><creator>Chen, Lynn, Ph.D</creator><creator>Lee, Hwa Young, Ph.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141001</creationdate><title>Self-report versus performance measure in gauging level of function with multiple sclerosis</title><author>Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N ; Morris, Marian, M.P.H., R.N ; Becker, Heather, Ph.D ; Chen, Lynn, Ph.D ; Lee, Hwa Young, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c580t-3fac5e6625459e0347202473ea2d82136d649b4d1aebe6fc20a3cd66441c24693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Activities of Daily Living</topic><topic>Disability Evaluation</topic><topic>Disabled Persons</topic><topic>Female</topic><topic>Functional limitations</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis</topic><topic>Performance testing</topic><topic>Self Report</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N</creatorcontrib><creatorcontrib>Morris, Marian, M.P.H., R.N</creatorcontrib><creatorcontrib>Becker, Heather, Ph.D</creatorcontrib><creatorcontrib>Chen, Lynn, Ph.D</creatorcontrib><creatorcontrib>Lee, Hwa Young, Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Disability and health journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stuifbergen, Alexa K., Ph.D., R.N., F.A.A.N</au><au>Morris, Marian, M.P.H., R.N</au><au>Becker, Heather, Ph.D</au><au>Chen, Lynn, Ph.D</au><au>Lee, Hwa Young, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-report versus performance measure in gauging level of function with multiple sclerosis</atitle><jtitle>Disability and health journal</jtitle><addtitle>Disabil Health J</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>7</volume><issue>4</issue><spage>413</spage><epage>418</epage><pages>413-418</pages><issn>1936-6574</issn><eissn>1876-7583</eissn><abstract>Abstract Background Multiple sclerosis (MS) is a debilitating, progressive disease with no known cure. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Activities of Daily Living
Disability Evaluation
Disabled Persons
Female
Functional limitations
Humans
Internal Medicine
Longitudinal Studies
Male
Middle Aged
Multiple Sclerosis
Performance testing
Self Report
title Self-report versus performance measure in gauging level of function with multiple sclerosis
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