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Reports of Fewer Activity Limitations

Recovery, Survey Fatigue, or Switching Respondent

Bibliographic Data

ID9099798
AuthorsSarah Catherine Hill (0000-0003-1840-3767, Environmental Protection Agency), Steven C Hill, Yuriy Pylypchuk (0000-0003-2574-3903, Environmental Protection Agency)
Year2006
Volume44
Issue5
Pages73-81
Publication date2006-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.mlr.0000208199.13219.8b
PMID16625067
OpenAlexW1974336800
LanguageEN
Citations received2
References cited14

BACKGROUND: Very little is known about the validity and reliability of disability dynamics reported in household surveys, and some researchers argue that measurement error likely plays a large part in reported recovery from disability. OBJECTIVES: We assessed the reliability of reported recovery from activity limitations elicited from 2 types of questions. We assessed competing hypotheses explaining reported recoveries from disability: people are less likely to recover from more severe disabilities, switching between self- and proxy-response affects reported recovery, and survey fatigue reduces reported disability. METHODS: Using the second panel of the Medical Expenditure Panel Survey, we estimated kappas for 2 types of questions in the same interview about limitations in activities of daily living and instrumental activities of daily living. We estimated multinomial logit models of consistently reported recovery, consistently reported ongoing limitations, and inconsistent responses. Recovery is a function of severity, switching respondent, measures of survey burden (such as family size), age, and education. RESULTS: Within an interview, we found substantial reliability for both instrumental activities of daily living and activities of daily living limitations (kappa = 0.62 and 0.70, respectively). Sample members with more severe disabilities are less likely to report recovery, which is consistent with accurate reporting. Controlling for severity, the type of respondent affects reported recovery. Measures of survey burden did not affect reports. CONCLUSION: Researchers can be confident in reports of recovery in the Medical Expenditure Panel Survey, especially when disability status was self-reported in both interviews. Researchers may also want to control for proxy respondents and switching respondents in their analyses

Activities of daily living · Health care · Logit · Medical Expenditure Panel Survey · Multinomial logistic regression · Proxy (statistics) · Psychiatry · Reliability (semiconductor) · Respondent · Statistics · Down syndrome and intellectual disability research · Health disparities and outcomes · Medicine · Psychology · Survey Methodology and Nonresponse · Gerontology

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Unique citing works2
Citations per year0,1
Citation span2006 - 2009 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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