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Self-Assessment of Mobility of People over 65 Years of Age

Background and Objectives: Nowadays, various clinical scoring systems are used in the medical care of the elderly to assess the quality of mobility. However, people often tend to under- or overestimate themselves in many aspects. Since this can have serious consequences in their treatment and care,...

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Autores principales: Martin, Pascal, Keppler, Alexander Martin, Alberton, Paolo, Neuerburg, Carl, Drey, Michael, Böcker, Wolfgang, Kammerlander, Christian, Saller, Maximilian Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469271/
https://www.ncbi.nlm.nih.gov/pubmed/34577903
http://dx.doi.org/10.3390/medicina57090980
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author Martin, Pascal
Keppler, Alexander Martin
Alberton, Paolo
Neuerburg, Carl
Drey, Michael
Böcker, Wolfgang
Kammerlander, Christian
Saller, Maximilian Michael
author_facet Martin, Pascal
Keppler, Alexander Martin
Alberton, Paolo
Neuerburg, Carl
Drey, Michael
Böcker, Wolfgang
Kammerlander, Christian
Saller, Maximilian Michael
author_sort Martin, Pascal
collection PubMed
description Background and Objectives: Nowadays, various clinical scoring systems are used in the medical care of the elderly to assess the quality of mobility. However, people often tend to under- or overestimate themselves in many aspects. Since this can have serious consequences in their treatment and care, the aim of this study was to identify differences in the self and external assessment of mobility of persons over 65 years of age. Materials and Methods: 222 participants over 65 years of age and one external, closely-related relative or professional caregiver were interviewed by a unique study assistant using a standardized questionnaire. Participants were divided into people living in nursing homes and independent people living at home, where either the caregivers or the relatives provided the external assessment of mobility, respectively. The questionnaire included demographics, cognitive abilities (Mini Mental Status Test); fall risk (Hendrich 2 Fall Risk Model); as well as the Parker Mobility Score, Barthel Index, and EQ-5D-5L to measure mobility, activities of daily life and quality of life. In each case, the participant and the external person were asked for their assessment to the participants’ mobility situation. Statistical significance of the difference between self and external assessment was calculated with a Wilcoxon rank-sum test and assumed with a p-value of ≤ 0.05. Results: Self-assessment indicated a significantly higher value, when compared to an external assessment for the Parker Mobility Score for females in nursing homes (p ≤ 0.01), as well as for the Barthel Index for females (p ≤ 0.01) and males (p ≤ 0.01) in nursing homes. The EQ-5D-5L received a significantly higher self-assessment value for females (p ≤ 0.01) and males (p ≤ 0.01) living at home and females (p ≤ 0.01) and males (p ≤ 0.05) in nursing homes. Conclusions: Persons over 65 years of age tend to overestimate their level of mobility, quality of life and activities of daily life. Especially for people living in nursing homes, these scoring systems should be treated with caution due to the differences between the verbal statements. It is important to properly assess the mobility situation of elderly patients to ensure correct medical treatment and prevention of falls.
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spelling pubmed-84692712021-09-27 Self-Assessment of Mobility of People over 65 Years of Age Martin, Pascal Keppler, Alexander Martin Alberton, Paolo Neuerburg, Carl Drey, Michael Böcker, Wolfgang Kammerlander, Christian Saller, Maximilian Michael Medicina (Kaunas) Article Background and Objectives: Nowadays, various clinical scoring systems are used in the medical care of the elderly to assess the quality of mobility. However, people often tend to under- or overestimate themselves in many aspects. Since this can have serious consequences in their treatment and care, the aim of this study was to identify differences in the self and external assessment of mobility of persons over 65 years of age. Materials and Methods: 222 participants over 65 years of age and one external, closely-related relative or professional caregiver were interviewed by a unique study assistant using a standardized questionnaire. Participants were divided into people living in nursing homes and independent people living at home, where either the caregivers or the relatives provided the external assessment of mobility, respectively. The questionnaire included demographics, cognitive abilities (Mini Mental Status Test); fall risk (Hendrich 2 Fall Risk Model); as well as the Parker Mobility Score, Barthel Index, and EQ-5D-5L to measure mobility, activities of daily life and quality of life. In each case, the participant and the external person were asked for their assessment to the participants’ mobility situation. Statistical significance of the difference between self and external assessment was calculated with a Wilcoxon rank-sum test and assumed with a p-value of ≤ 0.05. Results: Self-assessment indicated a significantly higher value, when compared to an external assessment for the Parker Mobility Score for females in nursing homes (p ≤ 0.01), as well as for the Barthel Index for females (p ≤ 0.01) and males (p ≤ 0.01) in nursing homes. The EQ-5D-5L received a significantly higher self-assessment value for females (p ≤ 0.01) and males (p ≤ 0.01) living at home and females (p ≤ 0.01) and males (p ≤ 0.05) in nursing homes. Conclusions: Persons over 65 years of age tend to overestimate their level of mobility, quality of life and activities of daily life. Especially for people living in nursing homes, these scoring systems should be treated with caution due to the differences between the verbal statements. It is important to properly assess the mobility situation of elderly patients to ensure correct medical treatment and prevention of falls. MDPI 2021-09-17 /pmc/articles/PMC8469271/ /pubmed/34577903 http://dx.doi.org/10.3390/medicina57090980 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Martin, Pascal
Keppler, Alexander Martin
Alberton, Paolo
Neuerburg, Carl
Drey, Michael
Böcker, Wolfgang
Kammerlander, Christian
Saller, Maximilian Michael
Self-Assessment of Mobility of People over 65 Years of Age
title Self-Assessment of Mobility of People over 65 Years of Age
title_full Self-Assessment of Mobility of People over 65 Years of Age
title_fullStr Self-Assessment of Mobility of People over 65 Years of Age
title_full_unstemmed Self-Assessment of Mobility of People over 65 Years of Age
title_short Self-Assessment of Mobility of People over 65 Years of Age
title_sort self-assessment of mobility of people over 65 years of age
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469271/
https://www.ncbi.nlm.nih.gov/pubmed/34577903
http://dx.doi.org/10.3390/medicina57090980
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