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The Barthel Activities of Daily Living Index: self-reporting versus actual performance in the old-old [75 years and above]
Author(s)Gary Sinoff
Journal titleJournal of the American Geriatrics Society, vol 45, no 7, July 1997
Pagespp 832-836
KeywordsSelf care capacity ; Mobility ; Evaluation ; Over 70s ; Living in the community ; In-patients ; United States of America.
AnnotationThe Barthel Index for assessing activities of daily living (ADL) was developed particularly for young stroke patients, but it now has a wider application in the geriatric assessment profile. This study tested the validity of the Barthel Index by self-report in 126 people aged 75 years and over, both geriatric medical inpatients and subjects from the community, during a 3-month period. A measure of the magnitude of discrepancy between the two methods (discrepancy score) was calculated as the difference between self-report and performance total scores. Findings revealed that the use of the Barthel Index by self-reporting had its limitations in people aged 75 years and over, and in particular geriatric in-patients aged 85 years and over. The authors suggest that older people may have to be assessed by the rehabilitation services using a performance-based measure or a different self-report test for documenting their activities of daily living, bearing in mind that self-reported and performance-based measures capture physical abilities differently. (AKM).
Accession NumberCPA-980917403 A
ClassmarkCA: C4: 4C: BBK: K4: LF7: 7T

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