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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2012

Open Access 01-12-2012 | Research

Validation of a mobility item bank for older patients in primary care

Authors: Julio Cabrero-García, Juan Diego Ramos-Pichardo, Carmen Luz Muñoz-Mendoza, María José Cabañero-Martínez, Lorena González-Llopis, Abilio Reig-Ferrer

Published in: Health and Quality of Life Outcomes | Issue 1/2012

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Abstract

Background

To develop and validate an item bank to measure mobility in older people in primary care and to analyse differential item functioning (DIF) and differential bundle functioning (DBF) by sex.

Methods

A pool of 48 mobility items was administered by interview to 593 older people attending primary health care practices. The pool contained four domains based on the International Classification of Functioning: changing and maintaining body position, carrying, lifting and pushing, walking and going up and down stairs.

Results

The Late Life Mobility item bank consisted of 35 items, and measured with a reliability of 0.90 or more across the full spectrum of mobility, except at the higher end of better functioning. No evidence was found of non-uniform DIF but uniform DIF was observed, mainly for items in the changing and maintaining body position and carrying, lifting and pushing domains. The walking domain did not display DBF, but the other three domains did, principally the carrying, lifting and pushing items.

Conclusions

During the design and validation of an item bank to measure mobility in older people, we found that strength (carrying, lifting and pushing) items formed a secondary dimension that produced DBF. More research is needed to determine how best to include strength items in a mobility measure, or whether it would be more appropriate to design separate measures for each construct.
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Metadata
Title
Validation of a mobility item bank for older patients in primary care
Authors
Julio Cabrero-García
Juan Diego Ramos-Pichardo
Carmen Luz Muñoz-Mendoza
María José Cabañero-Martínez
Lorena González-Llopis
Abilio Reig-Ferrer
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-10-147

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