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Self- vs proxy-reported mobility using the mobility assessment tool-short form in elderly preoperative patients
Sunghye Kim1,2, Michael E Miller2,3, Marina Lin4
11Department of Internal Medicine, Section of General Internal Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157 USA.
Proxy reports on the Mobility Assessment Tool-short (MAT-sf) are reliable for assessing older adults' mobility. However, proxies may underestimate mobility in patients with poorer functional status.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Clinical Assessment
Background:
- Mobility is crucial for independence in older adults and predicts health outcomes.
- Physical and self-assessments of mobility are not always feasible in clinical settings.
- Investigating reliable alternatives for functional assessments is essential.
Purpose of the Study:
- To determine the reliability of proxy-reported functional assessments using the Mobility Assessment Tool-short (MAT-sf).
- To compare patient self-reports with proxy reports of mobility in older individuals.
Main Methods:
- Sixty-six older adults (age ≥ 70) and their proxies participated.
- Both patients and their proxies completed the MAT-sf to rate mobility.
- Statistical analyses included correlation and regression to compare scores.
Main Results:
- A high correlation (0.81) was found between patient and proxy MAT-sf scores (p < 0.01).
- A significant disagreement was observed, with proxies underreporting mobility by 8.3% in lower mobility patients (p < 0.01).
- Intra-class correlation for repeated proxy reports was 0.81, indicating good reliability.
Conclusions:
- Proxy reports using the MAT-sf demonstrate good reliability for assessing older adults' mobility.
- A tendency for proxies to underreport mobility exists in patients with lower functional status.
- Proxy reports offer a viable alternative when patient self-assessment is not possible, with awareness of potential underestimation.
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