Cargando…

Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland

OBJECTIVE: To estimate the effects of repeat assessments, rater and time of day on mobility measures and to estimate their variation between and within participants in a population-based sample of Irish adults aged ≥50 years. DESIGN: Test–retest study in a population representative sample. SETTING:...

Descripción completa

Detalles Bibliográficos
Autores principales: Donoghue, Orna A, Savva, George M, Börsch-Supan, Axel, Kenny, Rose Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858113/
https://www.ncbi.nlm.nih.gov/pubmed/31719075
http://dx.doi.org/10.1136/bmjopen-2019-030475
_version_ 1783470884359503872
author Donoghue, Orna A
Savva, George M
Börsch-Supan, Axel
Kenny, Rose Anne
author_facet Donoghue, Orna A
Savva, George M
Börsch-Supan, Axel
Kenny, Rose Anne
author_sort Donoghue, Orna A
collection PubMed
description OBJECTIVE: To estimate the effects of repeat assessments, rater and time of day on mobility measures and to estimate their variation between and within participants in a population-based sample of Irish adults aged ≥50 years. DESIGN: Test–retest study in a population representative sample. SETTING: Academic health assessment centre of The Irish Longitudinal Study on Ageing (TILDA). PARTICIPANTS: 128 community-dwelling adults from the Survey for Health, Ageing and Retirement in Europe (SHARE) Ireland study who agreed to take part in the SHARE-Ireland/TILDA collaboration. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Participants performed timed up-and-go (TUG), repeated chair stands (RCS) and walking speed tests administered by one of two raters. Repeat assessments were conducted 1–4 months later. Participants were randomised with respect to a change in time (morning, afternoon) and whether the rater was changed between assessments. Within and between-participant variance for each measure was estimated using mixed-effects models. Intraclass correlation (ICC), SE of measurement and minimum detectable change (MDC) were reported. RESULTS: Average performance did not vary between baseline and repeat assessments in any test, except RCS. The rater significantly affected performance on all tests except one, but time of day did not. Reliability varied from ICC=0.66 (RCS) to ICC=0.88 (usual gait speed). MDC was 2.08 s for TUG, 4.52 s for RCS and ranged from 19.49 to 34.73 cm/s for walking speed tests. There was no evidence for lower reliability of gait parameters with increasing time between assessments. CONCLUSIONS: Reliability varied for each test when measurements are obtained over 1–4 months with most variation due to rater effects. Usual and motor dual task gait speed demonstrated highest reliability.
format Online
Article
Text
id pubmed-6858113
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-68581132019-12-03 Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland Donoghue, Orna A Savva, George M Börsch-Supan, Axel Kenny, Rose Anne BMJ Open Geriatric Medicine OBJECTIVE: To estimate the effects of repeat assessments, rater and time of day on mobility measures and to estimate their variation between and within participants in a population-based sample of Irish adults aged ≥50 years. DESIGN: Test–retest study in a population representative sample. SETTING: Academic health assessment centre of The Irish Longitudinal Study on Ageing (TILDA). PARTICIPANTS: 128 community-dwelling adults from the Survey for Health, Ageing and Retirement in Europe (SHARE) Ireland study who agreed to take part in the SHARE-Ireland/TILDA collaboration. INTERVENTIONS: Not applicable. OUTCOME MEASURES: Participants performed timed up-and-go (TUG), repeated chair stands (RCS) and walking speed tests administered by one of two raters. Repeat assessments were conducted 1–4 months later. Participants were randomised with respect to a change in time (morning, afternoon) and whether the rater was changed between assessments. Within and between-participant variance for each measure was estimated using mixed-effects models. Intraclass correlation (ICC), SE of measurement and minimum detectable change (MDC) were reported. RESULTS: Average performance did not vary between baseline and repeat assessments in any test, except RCS. The rater significantly affected performance on all tests except one, but time of day did not. Reliability varied from ICC=0.66 (RCS) to ICC=0.88 (usual gait speed). MDC was 2.08 s for TUG, 4.52 s for RCS and ranged from 19.49 to 34.73 cm/s for walking speed tests. There was no evidence for lower reliability of gait parameters with increasing time between assessments. CONCLUSIONS: Reliability varied for each test when measurements are obtained over 1–4 months with most variation due to rater effects. Usual and motor dual task gait speed demonstrated highest reliability. BMJ Publishing Group 2019-11-11 /pmc/articles/PMC6858113/ /pubmed/31719075 http://dx.doi.org/10.1136/bmjopen-2019-030475 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Geriatric Medicine
Donoghue, Orna A
Savva, George M
Börsch-Supan, Axel
Kenny, Rose Anne
Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title_full Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title_fullStr Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title_full_unstemmed Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title_short Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in Ireland
title_sort reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community-dwelling adults aged 50 years and over in ireland
topic Geriatric Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858113/
https://www.ncbi.nlm.nih.gov/pubmed/31719075
http://dx.doi.org/10.1136/bmjopen-2019-030475
work_keys_str_mv AT donoghueornaa reliabilitymeasurementerrorandminimumdetectablechangeinmobilitymeasuresacohortstudyofcommunitydwellingadultsaged50yearsandoverinireland
AT savvageorgem reliabilitymeasurementerrorandminimumdetectablechangeinmobilitymeasuresacohortstudyofcommunitydwellingadultsaged50yearsandoverinireland
AT borschsupanaxel reliabilitymeasurementerrorandminimumdetectablechangeinmobilitymeasuresacohortstudyofcommunitydwellingadultsaged50yearsandoverinireland
AT kennyroseanne reliabilitymeasurementerrorandminimumdetectablechangeinmobilitymeasuresacohortstudyofcommunitydwellingadultsaged50yearsandoverinireland