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Measuring Life‐Space Mobility in Community‐Dwelling Older Adults

Bibliographic Data

ID23319320
AuthorsPatricia Sawyer Baker (University of Alabama at Birmingham, corresponding author), Eric V Bodner, Eric Bodner (Geriatric Research Education and Clinical Center), Richard M Allman (0000-0002-1850-6515, Geriatric Research Education and Clinical Center)
Year2003
Volume51
Issue11
Pages1610-1614
Publication date2003-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of the American Geriatrics Society (JOURNAL)
Journal identifiersISSN: 0002-8614 • E-ISSN: 1532-5415
PublisherWiley (PUBLISHER • GB)
DOI10.1046/j.1532-5415.2003.51512.x
PMID14687391
OpenAlexW2100987110
LanguageEN
Citations received85
References cited11

Objectives: To evaluate the validity and reliability of a standardized approach for assessing life‐space mobility (the University of Alabama at Birmingham Study of Aging Life‐Space Assessment (LSA)) and its ability to detect changes in life‐space over time in community‐dwelling older adults. Design: Prospective, observational cohort study. Setting: Five counties (three rural and two urban) in central Alabama. Participants: Community‐dwelling Medicare beneficiaries (N=306; 46% male, 43% African American) who completed in‐home baseline interviews and 2‐week and 6‐month telephone follow‐up interviews. Measurements: The LSA assessed the range, independence, and frequency of movement over the 4 weeks preceding assessments. Correlations between the baseline LSA and measures of physical and mental health (physical performance, activities of daily living, instrumental activities of daily living, a global measure of health (the short form‐12 question survey), the Geriatric Depression Scale, and comorbidities) established validity. Follow‐up LSA scores established short‐term test‐retest reliability and the ability of the LSA to detect change. Results: For all LSA scoring methods, baseline and 2‐week follow‐up LSA correlations were greater than 0.86 (95% confidence interval=0.82–0.97). Highest correlations with measures of physical performance and function were noted for the LSA scoring method considering all attributes of mobility. The LSA showed both increases and decreases at 6 months. Discussion: Life‐space correlated with observed physical performance and self‐reported function. It was stable over a 2‐week period yet showed changes at 6 months.

Activities of daily living · Cognition · Confidence interval · Depressive symptoms · Geriatric Depression Scale · Mental health · Observational study · Physical therapy · Prospective cohort study · Psychiatry · Demography · Medicine · Older Adults Driving Studies · Spatial Cognition and Navigation · Urban Transport and Accessibility · Gerontology

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