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Preference-based generic measures are gaining increased use in mobility research to assess health-related quality of life and wellbeing. Hence, we examined the responsiveness of these two measures among individuals at risk of mobility impairment among adults aged ≥70 years.
We conducted a 12-month prospective cohort study of community-dwelling older adults (n = 288 to n = 341 depending on analysis) who were seen at the Vancouver Falls Prevention Clinic who had a history of at least one fall in the previous 12 months. We compared the responsiveness of the EuroQol-5 Domain-3 Level (EQ-5D-3L) and the index of capability for older adults (ICECAP-O) by examining changes in these measures over time (i.e., over 6 and 12 months) and by examining whether their changes varied as a function of having experienced 2 or more falls over 6 and 12 months.
Only the ICECAP-O showed a significant change over time from baseline through 12 months; however, neither measure showed change that exceeded the standard error of the mean. Both measures were responsive to falls that occurred during the first 6 months of the study (p < .05). These effects appeared to be amplified among individuals identified as having mild cognitive impairment (MCI) at baseline (p < .01). Additionally, the EQ-5D-3L was responsive among fallers who did not have MCI as well as individuals with MCI who did not fall (p < .05).
This study provides initial evidence suggesting that the EQ-5D-3L is generally more responsive, particularly during the first 6 months of falls tracking among older adults at risk of future mobility impairment.
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Morisod, J., & Coutaz, M. (2007). Post-fall syndrome: How to recognize and treat it? Revue Médicale Suisse,3(132), 2531–2532, 2534, 2536.
Davis, J. C., Best, J. R., Bryan, S., Li, L. C., Hsu, C. L., Gomez, C., et al. (2015). Mobility is a key predictor of change in well-being among older adults who experience falls: Evidence from the Vancouver Falls Prevention Clinic Cohort. Archives of Physical Medicine and Rehabilitation,96(9), 1634–1640. CrossRefPubMedPubMedCentral
Davis, J. C., Bryan, S., Best, J. R., Li, L. C., Hsu, C. L., Gomez, C., et al. (2015). Mobility predicts change in older adults’ health-related quality of life: evidence from a Vancouver falls prevention prospective cohort study. Health and Quality of Life Outcomes,13, 101. CrossRefPubMedPubMedCentral
Davis, J. C., Bryan, S., Li, L. C., Best, J. R., Hsu, C. L., Gomez, C., et al. (2015). Mobility and cognition are associated with wellbeing and health related quality of life among older adults: a cross-sectional analysis of the Vancouver Falls Prevention Cohort. BMC Geriatrics,15, 75. CrossRefPubMedPubMedCentral
Sen, A. (1987). Commodities and capbilities. New Delhi: Oxford University Press.
Sen, A., & Nussbaum, M. (1993). Capability and well-being. Oxford: Oxford University Press. CrossRef
Davis, J. C., Bryan, S., McLeod, R., Rogers, J., Khan, K., & Liu-Ambrose, T. (2012). Exploration of the association between quality of life, assessed by the EQ-5D and ICECAP-O, and falls risk, cognitive function and daily function, in older adults with mobility impairments. BMC Geriatrics,12, 65. CrossRefPubMedPubMedCentral
Atkinson, H. H., Rosano, C., Simonsick, E. M., Williamson, J. D., Davis, C., Ambrosius, W. T., et al. (2007). Cognitive function, gait speed decline, and comorbidities: the health, aging and body composition study. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences,62(8), 844–850. CrossRef
Lord, S., Sherrington, C., & Menz, H. (2001). A physiological profile approach for falls prevention. In Cambridge University Press (Ed.), Falls in older people. Risk factors and strategies for prevention. (pp. 221–238). Cambridge: Cambridge University Press.
Coast, J., & Al-Janabi, H. (2008). http://www.icecap.bham.ac.uk/.
Henderson, C., Knapp, M., Fernandez, J. L., Beecham, J., Hirani, S. P., Cartwright, M., et al. (2013). Cost effectiveness of telehealth for patients with long term conditions (Whole Systems Demonstrator telehealth questionnaire study): nested economic evaluation in a pragmatic, cluster randomised controlled trial. BMJ,346, f1035. CrossRefPubMed
- Are the EQ-5D-3L and the ICECAP-O responsive among older adults with impaired mobility? Evidence from the Vancouver Falls Prevention Cohort Study
Jennifer C. Davis
John R. Best
Karim M. Khan
Chun Liang Hsu
- Springer International Publishing