The development of a patient-reported functional limitations index.

The American Journal of Managed Care
Megan MathewsMegan K Beckett

Abstract

To develop an easy-to-interpret, patient-reported Functional Limitations Index (FLI) that can be used to assess and monitor the full spectrum of functioning in a community-dwelling population. Observational design using nationally representative survey data. We used self-rated health as a criterion for empirically assigning weights to 5 National Health Interview Survey items assessing difficulty with seeing, hearing, walking, cognition, and self-care. In addition to succinctly summarizing cumulative limitations, we addressed 2 main questions: (1) Which limitations have stronger associations with self-rated health? and (2) How does severity (from 0, no difficulty, to 3, unable to do) relate to self-rated health? We generated a respondent-level summary score based on a model predicting self-rated health from the 5 linearly scored (0-3) items and used splines to account for nonlinear severity-self-rated health associations. The strongest association of specific functional limitations with self-rated health involved mobility; the weakest associations involved sensory limitations. The association of severity with self-rated health was nonlinear and largest moving from no difficulty to somewhat difficult. Nationally, 5% of noninstitu...Continue Reading

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Related Papers

Lancet
Peter M Fayers, Mirjam A G Sprangers
The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Chenoa D AllenJohn G Orme
[Nihon kōshū eisei zasshi] Japanese journal of public health
H Sugisawa, A Sugisawa
© 2021 Meta ULC. All rights reserved