The Relation Between Subjective and Objective Measures of Everyday Life Activities in Persons With Multiple Sclerosis
Autor: | John DeLuca, Marla A. Shawaryn, Yael Goverover, Nancy B. Moore, Jessica H. Kalmar, Elizabeth Gaudino-Goering, June Halper |
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Rok vydání: | 2005 |
Předmět: |
Adult
Male medicine.medical_specialty Multiple Sclerosis Multivariate analysis Activities of daily living medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Disability Evaluation Activities of Daily Living Outcome Assessment Health Care medicine Humans Everyday life Association (psychology) Depressive Disorder Rehabilitation Data Collection Multiple sclerosis medicine.disease United States Test (assessment) Case-Control Studies Multivariate Analysis Physical therapy Regression Analysis Female Psychology Clinical psychology |
Zdroj: | Archives of Physical Medicine and Rehabilitation. 86:2303-2308 |
ISSN: | 0003-9993 |
Popis: | Goverover Y, Kalmar J, Gaudino-Goering E, Shawaryn M, Moore NB, Halper J, DeLuca J. The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis. Objectives To investigate the relation between subjective and objective performance-based measures of functional status in persons with multiple sclerosis (MS), and to compare their performance with healthy controls. Design A between-groups design, using a correlational approach to examine the relation between objective and subjective measures of functional capacity. Setting Outpatient rehabilitation research institution. Participants Seventy-four subjects with clinically definite MS and 35 healthy controls. Interventions Not applicable. Main Outcome Measures The Executive Function Performance Test (EFPT), Functional Assessment of Multiple Sclerosis (FAMS), and Functional Behavior Profile (FBP). Results MS participants reported more difficulties performing functional tasks than did the healthy controls. MS participants also performed significantly worse on the EFPT than healthy controls. However, all correlations between subjective and objective functional measures were nonsignificant. After controlling for depressive symptomatology, EFPT performance was significantly associated with FBP scores, but not FAMS scores. Conclusions The lack of association between objective performance-based measures and subjective self-report measures of functional activities is a challenge to outcomes measurement and has implications for assessment of functional performance. Results are discussed in terms of the different dimensions that these tools are measuring and their respective strengths and limitations. |
Databáze: | OpenAIRE |
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