{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:58:44Z","timestamp":1769155124838,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T00:00:00Z","timestamp":1433116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["R01 AG032052-03"],"award-info":[{"award-number":["R01 AG032052-03"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Canadian Institutes of Health Research, Jonathan Bean by a National Institutes of Health K24","award":["1K24HD070966-01"],"award-info":[{"award-number":["1K24HD070966-01"]}]},{"DOI":"10.13039\/100006663","name":"National Institute on Disability and Rehabilitation Research","doi-asserted-by":"crossref","award":["H133P120001"],"award-info":[{"award-number":["H133P120001"]}],"id":[{"id":"10.13039\/100006663","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2015,6]]},"abstract":"\n Objectives<\/jats:title>\n \n To determine and compare the predictive validity and responsiveness of the Late\u2010Life Function and Disability Instrument (\n LLFDI<\/jats:styled-content>\n ) frequency and limitation dimensions in assessing two critical dimensions of disability: frequency of and limitations in performance of major life roles.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Secondary analysis of 2\u2010year follow\u2010up data from the Boston Rehabilitative Impairment Study of the Elderly.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Primary care.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Community\u2010dwelling older adults (\u226565) (n\u00a0=\u00a0430) at risk of mobility decline.<\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n The\n LLFDI<\/jats:styled-content>\n frequency and limitation dimensions, self\u2010rated health, hospitalizations, and emergency department (\n ED<\/jats:styled-content>\n ) visits over 2\u00a0years. Responsiveness measures included effect size (\n ES<\/jats:styled-content>\n ) estimates and minimal detectable change (\n MDC<\/jats:styled-content>\n ) scores.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The\n LLFDI<\/jats:styled-content>\n frequency dimension predicted low\u00a0self\u2010rated health (odds ratio (\n OR<\/jats:styled-content>\n )\u00a0=\u00a00.51,\n P<\/jats:italic>\n \u00a0<\u00a0.001), hospitalizations (\n OR<\/jats:styled-content>\n \u00a0=\u00a00.68,\n P<\/jats:italic>\n \u00a0<\u00a0.001), and\n ED<\/jats:styled-content>\n visits (\n OR<\/jats:styled-content>\n \u00a0=\u00a00.73,\n P<\/jats:italic>\n \u00a0=\u00a0.003) over 2\u00a0years, whereas the limitation dimension did not. The absolute\n ES<\/jats:styled-content>\n was 0.63 for the frequency dimension and 0.81 for the limitation dimension. The proportion of subjects with a decline greater than or equal to the\n MDC<\/jats:styled-content>\n was 10.6% for the frequency dimension and 14.2% for the limitation dimension. For participants who improved greater than or equal to the\n MDC<\/jats:styled-content>\n , the proportion was 1.7% for the frequency dimension and 15.3% for the limitation dimension.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Frequency of participation in major life roles was a better predictor of adverse outcomes than perceived limitations, although limitations appeared to be more responsive to meaningful change. These results can be used to guide the selection of the most appropriate metric for measuring disability in geriatric research.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.13453","type":"journal-article","created":{"date-parts":[[2015,6,1]],"date-time":"2015-06-01T06:39:39Z","timestamp":1433140779000},"page":"1187-1191","source":"Crossref","is-referenced-by-count":16,"title":["How Should Disability Be Measured in Older Adults? An\u00a0Analysis from the Boston Rehabilitative Impairment Study\u00a0of the Elderly"],"prefix":"10.1111","volume":"63","author":[{"given":"Marla K.","family":"Beauchamp","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"},{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"},{"name":"Health and Disability Research Institute School of Public Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan F.","family":"Bean","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"},{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel E.","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Harvard Medical School Cambridge Massachusetts"},{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"},{"name":"Health and Disability Research Institute School of Public Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura A.","family":"Kurlinski","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy K.","family":"Latham","sequence":"additional","affiliation":[{"name":"Health and Disability Research Institute School of Public Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan M.","family":"Jette","sequence":"additional","affiliation":[{"name":"Health and Disability Research Institute School of Public Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"309","volume-title":"Disability in America: Toward a National Agenda for Prevention","author":"Nagi S","year":"1991"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.4.M209"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.4.M217"},{"key":"e_1_2_6_5_1","volume-title":"Disability and Health: ICF","author":"International Classification of Functioning","year":"2001"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-14-12"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.08.217"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"M43","DOI":"10.1093\/gerona\/55.1.M43","article-title":"Preclinical mobility disability predicts incident mobility disability in older women","volume":"55","author":"Fried LP","year":"2000","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.00291.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2005.00404.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1543-2"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.2.M85"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.4065\/77.4.371"},{"key":"e_1_2_6_15_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/86.5.735"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.3.1.11"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-8-51"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.7.M412"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2010.487145"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e3283432c41"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.13453","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.13453","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.13453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T16:59:18Z","timestamp":1762189158000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.13453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1111\/jgs.13453"],"URL":"https:\/\/doi.org\/10.1111\/jgs.13453","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6]]}}}