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Basic Physical Capability Scale: Psychometric Testing With Cognitively Impaired Older Adults.

Barbara Resnick1, Elizabeth Galik2, Marie Boltz3

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American Journal of Alzheimer'S Disease and Other Dementias
|January 15, 2014
PubMed
Summary

The Basic Physical Capability Scale is reliable and valid for assessing older adults with cognitive impairment. This tool aids in setting function-focused care goals for enhanced physical function.

Keywords:
Rasch analysisfunction-focused goalsmeasurementmoderate to severe cognitive impairmentphysical capability

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Cognitive Impairment Research

Background:

  • Older adults with moderate to severe cognitive impairment often present challenges in functional assessment.
  • Function-focused care (FFC) aims to maximize physical capabilities in this population.
  • Standardized measures are needed to accurately assess physical function and guide FFC interventions.

Purpose of the Study:

  • To evaluate the reliability and validity of the Basic Physical Capability Scale in older adults with moderate to severe cognitive impairment.
  • To assess the utility of the Basic Physical Capability Scale for establishing function-focused care goals.
  • To identify potential improvements for the scale to better differentiate functional levels.

Main Methods:

  • Secondary data analysis of two intervention studies involving FFC for older adults with cognitive impairment.
  • Inclusion of participants from nursing homes and assisted living facilities.
  • Statistical analysis to determine construct validity, hypothesis testing, and internal consistency (Cronbach's α = .79).

Main Results:

  • The Basic Physical Capability Scale demonstrated support for validity through construct validity and hypothesis testing.
  • The measure exhibited good internal consistency, with Cronbach's α = .79.
  • The scale showed utility in assessing physical capability for function-focused care goal setting.

Conclusions:

  • The Basic Physical Capability Scale is a reliable and valid tool for assessing physical function in older adults with moderate to severe cognitive impairment.
  • The scale is useful for guiding the development of function-focused care goals.
  • Recommendations for scale enhancement are provided to improve differentiation of functional levels within this population.