TY - JOUR
T1 - Exploring the Remote Administration of a Performance-Based Functional Assessment
AU - Keleman, Audrey A.
AU - Bollinger, Rebecca M.
AU - Rodakowski, Juleen
AU - Chang, Chih Hung
AU - Kehrer-Dunlap, Abigail L.
AU - Ances, Beau M.
AU - Stark, Susan L.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024
Y1 - 2024
N2 - Performance-based assessments of instrumental activities of daily living (IADL) can detect subtle functional impairments better than self-reported questionnaires. While most performance-based IADL assessments were developed for in-person administration, remote administration could increase access to vulnerable older adults. This study compared in-person and remote administration of IADL tasks from the Performance Assessment of Self-Care Skills. Community-dwelling older adults completed tasks (shopping, checkbook balancing, and medication management) at baseline (in-person) and follow-up (either in-person or remote, with modifications) two years later. Scores between the two follow-up groups, change in scores from baseline to follow-up, and differential item functioning (DIF) between the two administration methods at follow-up were examined. There were no differences in scores between methods of administration, but remote tasks took longer, and one item had significant DIF (ps <.01). Clinicians found remote administration acceptable and feasible. With minor adaptations, remote administration of the three tasks was supported. Further validation research is needed.
AB - Performance-based assessments of instrumental activities of daily living (IADL) can detect subtle functional impairments better than self-reported questionnaires. While most performance-based IADL assessments were developed for in-person administration, remote administration could increase access to vulnerable older adults. This study compared in-person and remote administration of IADL tasks from the Performance Assessment of Self-Care Skills. Community-dwelling older adults completed tasks (shopping, checkbook balancing, and medication management) at baseline (in-person) and follow-up (either in-person or remote, with modifications) two years later. Scores between the two follow-up groups, change in scores from baseline to follow-up, and differential item functioning (DIF) between the two administration methods at follow-up were examined. There were no differences in scores between methods of administration, but remote tasks took longer, and one item had significant DIF (ps <.01). Clinicians found remote administration acceptable and feasible. With minor adaptations, remote administration of the three tasks was supported. Further validation research is needed.
KW - cognition
KW - function
KW - instrumental activities of daily living
KW - remote assessment
UR - http://www.scopus.com/inward/record.url?scp=85207772107&partnerID=8YFLogxK
U2 - 10.1177/07334648241292968
DO - 10.1177/07334648241292968
M3 - Article
C2 - 39449317
AN - SCOPUS:85207772107
SN - 0733-4648
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
ER -