A study of measurement properties of the Life-Space Assessment questionnaire in older adults with chronic obstructive pulmonary disease.

Abstract:

OBJECTIVE:To test the measurement properties (reliability, interpretability, and validity) of the Life-Space Assessment questionnaire for older adults with chronic obstructive pulmonary disease. DESIGN:Clinimetric study. SETTING:Pneumology service, ambulatory care, São Paulo, SP, Brazil. PARTICIPANTS:Consecutive sample of older adults ( n = 62; 38 (61%) men, 24 (39%) women) with chronic obstructive pulmonary disease. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Life-Space Assessment questionnaire assesses five space levels visited by the older adult in four weeks prior to the assessment. We tested the following measurement properties of this questionnaire: reliability (reproducibility assessed by a type-2,1 intraclass correlation coefficient (ICC2,1); internal consistency assessed by the Cronbach's alpha; measurement error by determining the standard error of measurement (SEM)), interpretability (minimum detectable change with 90% confidence (MDC90); ceiling and floor effects by calculating the proportion of participants who achieved the minimum and maximum scores), and validity by Pearson's correlation test between the Life-Space Assessment questionnaire scores and number of daily steps assessed by accelerometry. RESULTS:Reproducibility (ICC2,1) was 0.90 (95% confidence interval (CI): 0.84-0.94), and internal consistency (Cronbach's α) was 0.80 (range = 0.76-0.80 for each item deleted). SEM was 3.65 points (3%), the MDC90 was 0.20 points, and we observed no ceiling (2%) or floor (6%) effects. We observed an association between the score of the Life-Space Assessment questionnaire and daily steps ( r = 0.43; P = 0.01). CONCLUSION:Life-Space Assessment questionnaire shows adequate measurement properties for the assessment of life-space mobility in older adults with chronic obstructive pulmonary disease.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Garcia IFF,Tiuganji CT,Simões MDSMP,Lunardi AC

doi

10.1177/0269215518780488

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1374-1382

issue

10

eissn

0269-2155

issn

1477-0873

journal_volume

32

pub_type

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