Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment
(1) Background: Life-space mobility assessments for institutionalized settings are scarce and there is a lack of comprehensive validation and focus on persons with cognitive impairment (CI). This study aims to evaluate the psychometric properties of the Life-Space Assessment for Institutionalized Se...
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| Veröffentlicht in: | International journal of environmental research and public health 2021-04, Vol.18 (8), p.3872 |
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| description | (1) Background: Life-space mobility assessments for institutionalized settings are scarce and there is a lack of comprehensive validation and focus on persons with cognitive impairment (CI). This study aims to evaluate the psychometric properties of the Life-Space Assessment for Institutionalized Settings by proxy informants (LSA-IS-proxy) for institutionalized, older persons, with and without CI. (2) Methods: Concurrent validity against the self-reported version of the LSA-IS, construct validity with established construct variables, test-retest reliability, sensitivity to change during early multidisciplinary geriatric rehabilitation treatment, and feasibility (completion rate, floor/ceiling effects) of the LSA-IS-proxy, were assessed in 94 hospitalized geriatric patients (83.3 ± 6.1 years), with and without CI. (3) Results: The LSA-IS-proxy total score showed good-to-excellent agreement with the self-reported LSA-IS (Intraclass Correlations Coefficient, ICC
= 0.77), predominantly expected small-to-high correlations with construct variables (
= 0.21-0.59), good test-retest reliability (ICC
= 0.74), significant sensitivity to change over the treatment period (18.5 ± 7.9 days;
< 0.001, standardized response mean = 0.44), and excellent completion rates (100%) with no floor/ceiling effects. These results were predominantly confirmed for the sub-scores of the LSA-IS-proxy and were comparable between the sub-groups with different cognitive status. (4) Conclusions: The LSA-IS-proxy has proven to be feasible, valid, reliable, and sensitive to change in hospitalized, geriatric patients with and without CI. |
| doi_str_mv | 10.3390/ijerph18083872 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8067867</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2520856672</sourcerecordid><originalsourceid>FETCH-LOGICAL-c418t-dbdd2bc8b37a4a24caaaee98c1e032fe78162eee21458b0937608915d7b314873</originalsourceid><addsrcrecordid>eNpdksFu1DAQhiNERUvhyhFZ4lIOae3YsZ0L0mpVYKWVuurCOXKcycarxA62U9g-EY9J0paq7ckjzzf_P_ZMknwg-JzSAl-YPfihJRJLKkX2KjkhnOOUcUxeP4mPk7ch7DGmkvHiTXI8lRKBC3GS_N2Eg25dD9EbjTbeDeCjgYBcg2IL882fQ3oNg_MRarQ2DaTbQWlAixAghB5sRMailQ3RxDEaZ1Vnbid0CzEauwvobL1dpKtteif1GTXOo6uuBo824IOzAf02sUXK1neBGyNaup010dwAWvWDMn42eZccNaoL8P7hPE1-fr38sfyerq--rZaLdaoZkTGtq7rOKi0rKhRTGdNKKYBCagKYZg0ISXgGABlhuaxwQQXHsiB5LSpKmBT0NPlyrzuMVQ-1nqy96srBm175Q-mUKZ9nrGnLnbspJeZC8lng7EHAu18jhFj2JmjoOmXBjaHM8gzLnHORTeinF-jejX76wJmaZsdEwfKJOr-ntHcheGgemyG4nJegfL4EU8HHp094xP9Pnf4DJ6iytQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2566047945</pqid></control><display><type>article</type><title>Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Hauer, Klaus ; Ullrich, Phoebe ; Heldmann, Patrick ; Bauknecht, Laura ; Hummel, Saskia ; Abel, Bastian ; Bauer, Juergen M ; Lamb, Sarah E ; Werner, Christian</creator><creatorcontrib>Hauer, Klaus ; Ullrich, Phoebe ; Heldmann, Patrick ; Bauknecht, Laura ; Hummel, Saskia ; Abel, Bastian ; Bauer, Juergen M ; Lamb, Sarah E ; Werner, Christian</creatorcontrib><description>(1) Background: Life-space mobility assessments for institutionalized settings are scarce and there is a lack of comprehensive validation and focus on persons with cognitive impairment (CI). This study aims to evaluate the psychometric properties of the Life-Space Assessment for Institutionalized Settings by proxy informants (LSA-IS-proxy) for institutionalized, older persons, with and without CI. (2) Methods: Concurrent validity against the self-reported version of the LSA-IS, construct validity with established construct variables, test-retest reliability, sensitivity to change during early multidisciplinary geriatric rehabilitation treatment, and feasibility (completion rate, floor/ceiling effects) of the LSA-IS-proxy, were assessed in 94 hospitalized geriatric patients (83.3 ± 6.1 years), with and without CI. (3) Results: The LSA-IS-proxy total score showed good-to-excellent agreement with the self-reported LSA-IS (Intraclass Correlations Coefficient, ICC
= 0.77), predominantly expected small-to-high correlations with construct variables (
= 0.21-0.59), good test-retest reliability (ICC
= 0.74), significant sensitivity to change over the treatment period (18.5 ± 7.9 days;
< 0.001, standardized response mean = 0.44), and excellent completion rates (100%) with no floor/ceiling effects. These results were predominantly confirmed for the sub-scores of the LSA-IS-proxy and were comparable between the sub-groups with different cognitive status. (4) Conclusions: The LSA-IS-proxy has proven to be feasible, valid, reliable, and sensitive to change in hospitalized, geriatric patients with and without CI.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18083872</identifier><identifier>PMID: 33917097</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Cognitive ability ; Delirium ; Exercise ; Feasibility ; Floors ; Geriatrics ; Hospitalization ; Hospitals ; Impairment ; Institutionalization ; Mobility ; Nursing homes ; Older people ; Patients ; Quality of life ; Quantitative psychology ; Rehabilitation ; Reliability ; Sensitivity ; Sensitivity analysis ; Validation studies ; Validity</subject><ispartof>International journal of environmental research and public health, 2021-04, Vol.18 (8), p.3872</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-dbdd2bc8b37a4a24caaaee98c1e032fe78162eee21458b0937608915d7b314873</citedby><cites>FETCH-LOGICAL-c418t-dbdd2bc8b37a4a24caaaee98c1e032fe78162eee21458b0937608915d7b314873</cites><orcidid>0000-0003-4349-7195 ; 0000-0003-0679-3227 ; 0000-0002-6696-5230</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067867/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067867/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33917097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hauer, Klaus</creatorcontrib><creatorcontrib>Ullrich, Phoebe</creatorcontrib><creatorcontrib>Heldmann, Patrick</creatorcontrib><creatorcontrib>Bauknecht, Laura</creatorcontrib><creatorcontrib>Hummel, Saskia</creatorcontrib><creatorcontrib>Abel, Bastian</creatorcontrib><creatorcontrib>Bauer, Juergen M</creatorcontrib><creatorcontrib>Lamb, Sarah E</creatorcontrib><creatorcontrib>Werner, Christian</creatorcontrib><title>Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>(1) Background: Life-space mobility assessments for institutionalized settings are scarce and there is a lack of comprehensive validation and focus on persons with cognitive impairment (CI). This study aims to evaluate the psychometric properties of the Life-Space Assessment for Institutionalized Settings by proxy informants (LSA-IS-proxy) for institutionalized, older persons, with and without CI. (2) Methods: Concurrent validity against the self-reported version of the LSA-IS, construct validity with established construct variables, test-retest reliability, sensitivity to change during early multidisciplinary geriatric rehabilitation treatment, and feasibility (completion rate, floor/ceiling effects) of the LSA-IS-proxy, were assessed in 94 hospitalized geriatric patients (83.3 ± 6.1 years), with and without CI. (3) Results: The LSA-IS-proxy total score showed good-to-excellent agreement with the self-reported LSA-IS (Intraclass Correlations Coefficient, ICC
= 0.77), predominantly expected small-to-high correlations with construct variables (
= 0.21-0.59), good test-retest reliability (ICC
= 0.74), significant sensitivity to change over the treatment period (18.5 ± 7.9 days;
< 0.001, standardized response mean = 0.44), and excellent completion rates (100%) with no floor/ceiling effects. These results were predominantly confirmed for the sub-scores of the LSA-IS-proxy and were comparable between the sub-groups with different cognitive status. (4) Conclusions: The LSA-IS-proxy has proven to be feasible, valid, reliable, and sensitive to change in hospitalized, geriatric patients with and without CI.</description><subject>Activities of daily living</subject><subject>Cognitive ability</subject><subject>Delirium</subject><subject>Exercise</subject><subject>Feasibility</subject><subject>Floors</subject><subject>Geriatrics</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Impairment</subject><subject>Institutionalization</subject><subject>Mobility</subject><subject>Nursing homes</subject><subject>Older people</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Quantitative psychology</subject><subject>Rehabilitation</subject><subject>Reliability</subject><subject>Sensitivity</subject><subject>Sensitivity analysis</subject><subject>Validation studies</subject><subject>Validity</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdksFu1DAQhiNERUvhyhFZ4lIOae3YsZ0L0mpVYKWVuurCOXKcycarxA62U9g-EY9J0paq7ckjzzf_P_ZMknwg-JzSAl-YPfihJRJLKkX2KjkhnOOUcUxeP4mPk7ch7DGmkvHiTXI8lRKBC3GS_N2Eg25dD9EbjTbeDeCjgYBcg2IL882fQ3oNg_MRarQ2DaTbQWlAixAghB5sRMailQ3RxDEaZ1Vnbid0CzEauwvobL1dpKtteif1GTXOo6uuBo824IOzAf02sUXK1neBGyNaup010dwAWvWDMn42eZccNaoL8P7hPE1-fr38sfyerq--rZaLdaoZkTGtq7rOKi0rKhRTGdNKKYBCagKYZg0ISXgGABlhuaxwQQXHsiB5LSpKmBT0NPlyrzuMVQ-1nqy96srBm175Q-mUKZ9nrGnLnbspJeZC8lng7EHAu18jhFj2JmjoOmXBjaHM8gzLnHORTeinF-jejX76wJmaZsdEwfKJOr-ntHcheGgemyG4nJegfL4EU8HHp094xP9Pnf4DJ6iytQ</recordid><startdate>20210407</startdate><enddate>20210407</enddate><creator>Hauer, Klaus</creator><creator>Ullrich, Phoebe</creator><creator>Heldmann, Patrick</creator><creator>Bauknecht, Laura</creator><creator>Hummel, Saskia</creator><creator>Abel, Bastian</creator><creator>Bauer, Juergen M</creator><creator>Lamb, Sarah E</creator><creator>Werner, Christian</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4349-7195</orcidid><orcidid>https://orcid.org/0000-0003-0679-3227</orcidid><orcidid>https://orcid.org/0000-0002-6696-5230</orcidid></search><sort><creationdate>20210407</creationdate><title>Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment</title><author>Hauer, Klaus ; 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This study aims to evaluate the psychometric properties of the Life-Space Assessment for Institutionalized Settings by proxy informants (LSA-IS-proxy) for institutionalized, older persons, with and without CI. (2) Methods: Concurrent validity against the self-reported version of the LSA-IS, construct validity with established construct variables, test-retest reliability, sensitivity to change during early multidisciplinary geriatric rehabilitation treatment, and feasibility (completion rate, floor/ceiling effects) of the LSA-IS-proxy, were assessed in 94 hospitalized geriatric patients (83.3 ± 6.1 years), with and without CI. (3) Results: The LSA-IS-proxy total score showed good-to-excellent agreement with the self-reported LSA-IS (Intraclass Correlations Coefficient, ICC
= 0.77), predominantly expected small-to-high correlations with construct variables (
= 0.21-0.59), good test-retest reliability (ICC
= 0.74), significant sensitivity to change over the treatment period (18.5 ± 7.9 days;
< 0.001, standardized response mean = 0.44), and excellent completion rates (100%) with no floor/ceiling effects. These results were predominantly confirmed for the sub-scores of the LSA-IS-proxy and were comparable between the sub-groups with different cognitive status. (4) Conclusions: The LSA-IS-proxy has proven to be feasible, valid, reliable, and sensitive to change in hospitalized, geriatric patients with and without CI.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33917097</pmid><doi>10.3390/ijerph18083872</doi><orcidid>https://orcid.org/0000-0003-4349-7195</orcidid><orcidid>https://orcid.org/0000-0003-0679-3227</orcidid><orcidid>https://orcid.org/0000-0002-6696-5230</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Cognitive ability Delirium Exercise Feasibility Floors Geriatrics Hospitalization Hospitals Impairment Institutionalization Mobility Nursing homes Older people Patients Quality of life Quantitative psychology Rehabilitation Reliability Sensitivity Sensitivity analysis Validation studies Validity |
| title | Psychometric Properties of the Proxy-Reported Life-Space Assessment in Institutionalized Settings (LSA-IS-Proxy) for Older Persons with and without Cognitive Impairment |
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