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Scaling ADLs within the MDS
Author(s)John N Morris, Brant E Fries, Shirley A Morris
Journal titleThe Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 11, November 1999
Pagespp M546-555
KeywordsMobility ; Self care capacity ; Health [elderly] ; Cognitive processes ; Nursing homes ; Evaluation ; United States of America.
AnnotationDependency in activities of daily living (ADLs) is a reality within nursing homes. The authors describe ADL measurement strategies based on items in the Minimum Data Set (MDS) and the creation and distributional properties of three ADL self-performance scales and their relationship to other measures. Prevalence and factor structure findings for seven MDS ADL self-performance variables suggest that these items can be placed into early, middle and late loss ADL components. Two types of summary ADL self-performance measures were created: additive and hierarchical. Distributional properties of these scales are described, as is their relationship to two external ADL criteria which have been reported in previous studies: first as an independent variable predicting staff time involved in resident care; second, as an independent variable in a study of the efficiency of the two programmes to improve resident functioning. The new ADL summary scales, based on readily available MDS data, should prove useful to clinicians, programme auditors and researchers who use the MDS functional self-performance items to determine a resident's ADL status. (RH).
Accession NumberCPA-000306218 A
ClassmarkC4: CA: CC: DA: LHB: 4C: 7T

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