Characteristics of and Barriers to Functional Status Assessment in Assisted Living. Bowen, M., E., Rowe, M., A., Hart-Hughes, S., Barnett, S., & Ji, M. Research In Gerontological Nursing, Slack Inc, 17, 2015.
Characteristics of and Barriers to Functional Status Assessment in Assisted Living [link]Website  abstract   bibtex   
The most commonly used functional status (FS) instruments were examined to determine the validity, reliability, sensitivity, and specificity to change and feasibility in residents in an assisted living facility (ALF). Twenty-six ALF residents were assessed weekly for up to 8 months using six instruments. Group and single-subject analyses were used to examine associations between instruments and acute events. Two were problematic initially (Katz Index of Independence in Activities of Daily Living and hand grip) and were excluded early in the study. Of the remaining instruments, only the Barthel Index and Resident Assessment Instrument had acceptable psychometric profiles. However, these instruments were either not feasible in this environment or did not capture the full range of FS in this population. The current study's findings suggest that instruments commonly used to measure FS may be inadequate for this population and environment. These findings may be used to develop assessment methods for ALF residents that capture both the full range of FS in ALF settings as well as acute and long-term changes in functioning. Res Gerontol Nurs. 20xx; x(x): xx-xx.].; Copyright 2015, SLACK Incorporated.
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 title = {Characteristics of and Barriers to Functional Status Assessment in Assisted Living},
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 notes = {ID: 25893725; Accession Number: 25893725. Language: English. Date Revised: 20150422. Date Created: 20150420. Update Code: 20150423. Publication Type: JOURNAL ARTICLE. Journal ID: 101392499. Publication Model: Print-Electronic. Cited Medium: Print. NLM ISO Abbr: Res Gerontol Nurs. Linking ISSN: 19382464. Date of Electronic Publication: 2015 Apr 17. ; Original Imprints: Publication: Thorofare, NJ : Slack Inc.},
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 abstract = {The most commonly used functional status (FS) instruments were examined to determine the validity, reliability, sensitivity, and specificity to change and feasibility in residents in an assisted living facility (ALF). Twenty-six ALF residents were assessed weekly for up to 8 months using six instruments. Group and single-subject analyses were used to examine associations between instruments and acute events. Two were problematic initially (Katz Index of Independence in Activities of Daily Living and hand grip) and were excluded early in the study. Of the remaining instruments, only the Barthel Index and Resident Assessment Instrument had acceptable psychometric profiles. However, these instruments were either not feasible in this environment or did not capture the full range of FS in this population. The current study's findings suggest that instruments commonly used to measure FS may be inadequate for this population and environment. These findings may be used to develop assessment methods for ALF residents that capture both the full range of FS in ALF settings as well as acute and long-term changes in functioning. Res Gerontol Nurs. 20xx; x(x): xx-xx.].; Copyright 2015, SLACK Incorporated.},
 bibtype = {article},
 author = {Bowen, Mary Elizabeth and Rowe, Meredeth A and Hart-Hughes, Stephanie and Barnett, Scott and Ji, Ming},
 journal = {Research In Gerontological Nursing}
}

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