Is patient-reported function reliable for monitoring postacute outcomes?
OBJECTIVE
A major challenge in the development of a comprehensive measurement system to evaluate effectiveness across a broad range of postacute care settings is the stability and consistency of outcomes measures across respondents and settings. The objective of this study was to investigate the test-retest and subject-proxy reliability of activity scores for use in a new postacute care outcome instrument using an interview format across different care settings.


METHODS
Twenty-five subjects were randomly selected from a larger study of 485 individuals and were interviewed on two occasions within 1 to 4 days to assess self-reported test-retest reliability of summary scores of the Activity Measure-Post-Acute Care item pool. Proxy reliability was tested by interviewing the primary physical or occupational therapist or family member using an identical questionnaire in addition to the subject in 45 patients.


RESULTS
Test-retest and subject-proxy reliability was acceptable for the three domains of the activity construct: physical and movement, personal and instrumental, and applied cognition with intraclass correlation coefficients of the summary scores of each of the three domains ranging between 0.91 and 0.97 for test-retest and 0.68 and 0.90 for subject-proxy.


CONCLUSIONS
Reliability is adequate to justify use of these activity scales across respondents and settings.
Andres
Patricia L
PL
Research and Training Center on Measuring Rehabilitation Outcomes, Boston University, Boston, Massachusetts 02215, USA.
Haley
Stephen M
SM
Ni
Peng Sheng
PS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome