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The assessment of ADL among frail elderly in an interview survey
 — self-report versus performance-based tests and determinants of discrepancies
Author(s)Gertrudis I J M Kempen, Nardi Steverink, Johan Ormel
Journal titleThe Journals of Gerontology Series B: Psychological Sciences and Social Sciences, vol 51B, no 5, September 1996
Pagespp P254-P260
KeywordsSelf care capacity ; Independence ; Social characteristics [elderly] ; Cognitive processes ; Personality ; Testing ; Estimation ; Social surveys ; United States of America.
AnnotationThe impact of three sociodemographic, two cognitive, two affective, and four personality measures on discrepancies between self-reported and performance-based ADL (activities of daily living) in a sample of 753 frail older people is measured using multiple regression analysis. Underestimation (i.e. lower self-reported levels of ADL compared to performance-based levels) occurs particularly among subjects with low perceptions of physical competence and mastery of personal control, and high levels of depressive symptomatology. In contrast, the role of cognitive functioning and sociodemographic variables in the discrepancies is a minor one. Although self-report ADL measures are easier to administer and less sensitive to non-response than performance based ADL measures, the confounding effects of perceived physical competence, mastery, and depressive symptomatology on self-reported ADL should be considered in any application of self-report measures of ADL among frail elderly.
Accession NumberCPA-970722004 A
ClassmarkCA: C3: F: DA: DK: 3T: 3YG: 3F: 7T

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