The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis

Yael Goverover, Jessica Kalmar, Elizabeth Gaudino-Goering, Marla Shawaryn, Nancy B. Moore, June Halper, John DeLuca

Research output: Contribution to journalArticle

Abstract

Objectives: To investigate the relation between subjective and objective performance-based measures of functional status in persons with multiple sclerosis (MS), and to compare their performance with healthy controls. Design: A between-groups design, using a correlational approach to examine the relation between objective and subjective measures of functional capacity. Setting: Outpatient rehabilitation research institution. Seventy-four subjects with clinically definite MS and 35 healthy controls. Interventions: Not applicable. Main Outcome Measures: The Executive Function Performance Test (EFPT), Functional Assessment of Multiple Sclerosis (FAMS), and Functional Behavior Profile (FBP). Results: MS participants reported more difficulties performing functional tasks than did the healthy controls. MS participants also performed significantly worse on the EFPT than healthy controls. However, all correlations between subjective and objective functional measures were nonsignificant. After controlling for depressive symptomatology, EFPT performance was significantly associated with FBP scores, but not FAMS scores. Conclusions: The lack of association between objective performance-based measures and subjective self-report measures of functional activities is a challenge to outcomes measurement and has implications for assessment of functional performance. Results are discussed in terms of the different dimensions that these tools are measuring and their respective strengths and limitations.

Original languageEnglish (US)
Pages (from-to)2303-2308
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number12
DOIs
StatePublished - Dec 2005

Fingerprint

Multiple Sclerosis
Executive Function
Self Report
Outpatients
Outcome Assessment (Health Care)

Keywords

  • Activities of daily living
  • Multiple sclerosis
  • Outcome assessment (health care)
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis. / Goverover, Yael; Kalmar, Jessica; Gaudino-Goering, Elizabeth; Shawaryn, Marla; Moore, Nancy B.; Halper, June; DeLuca, John.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 12, 12.2005, p. 2303-2308.

Research output: Contribution to journalArticle

Goverover, Yael ; Kalmar, Jessica ; Gaudino-Goering, Elizabeth ; Shawaryn, Marla ; Moore, Nancy B. ; Halper, June ; DeLuca, John. / The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 12. pp. 2303-2308.
@article{090c41779cde4ae78a91cb21fdd472b5,
title = "The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis",
abstract = "Objectives: To investigate the relation between subjective and objective performance-based measures of functional status in persons with multiple sclerosis (MS), and to compare their performance with healthy controls. Design: A between-groups design, using a correlational approach to examine the relation between objective and subjective measures of functional capacity. Setting: Outpatient rehabilitation research institution. Seventy-four subjects with clinically definite MS and 35 healthy controls. Interventions: Not applicable. Main Outcome Measures: The Executive Function Performance Test (EFPT), Functional Assessment of Multiple Sclerosis (FAMS), and Functional Behavior Profile (FBP). Results: MS participants reported more difficulties performing functional tasks than did the healthy controls. MS participants also performed significantly worse on the EFPT than healthy controls. However, all correlations between subjective and objective functional measures were nonsignificant. After controlling for depressive symptomatology, EFPT performance was significantly associated with FBP scores, but not FAMS scores. Conclusions: The lack of association between objective performance-based measures and subjective self-report measures of functional activities is a challenge to outcomes measurement and has implications for assessment of functional performance. Results are discussed in terms of the different dimensions that these tools are measuring and their respective strengths and limitations.",
keywords = "Activities of daily living, Multiple sclerosis, Outcome assessment (health care), Rehabilitation",
author = "Yael Goverover and Jessica Kalmar and Elizabeth Gaudino-Goering and Marla Shawaryn and Moore, {Nancy B.} and June Halper and John DeLuca",
year = "2005",
month = "12",
doi = "10.1016/j.apmr.2005.05.016",
language = "English (US)",
volume = "86",
pages = "2303--2308",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "12",

}

TY - JOUR

T1 - The relation between subjective and objective measures of everyday life activities in persons with multiple sclerosis

AU - Goverover, Yael

AU - Kalmar, Jessica

AU - Gaudino-Goering, Elizabeth

AU - Shawaryn, Marla

AU - Moore, Nancy B.

AU - Halper, June

AU - DeLuca, John

PY - 2005/12

Y1 - 2005/12

N2 - Objectives: To investigate the relation between subjective and objective performance-based measures of functional status in persons with multiple sclerosis (MS), and to compare their performance with healthy controls. Design: A between-groups design, using a correlational approach to examine the relation between objective and subjective measures of functional capacity. Setting: Outpatient rehabilitation research institution. Seventy-four subjects with clinically definite MS and 35 healthy controls. Interventions: Not applicable. Main Outcome Measures: The Executive Function Performance Test (EFPT), Functional Assessment of Multiple Sclerosis (FAMS), and Functional Behavior Profile (FBP). Results: MS participants reported more difficulties performing functional tasks than did the healthy controls. MS participants also performed significantly worse on the EFPT than healthy controls. However, all correlations between subjective and objective functional measures were nonsignificant. After controlling for depressive symptomatology, EFPT performance was significantly associated with FBP scores, but not FAMS scores. Conclusions: The lack of association between objective performance-based measures and subjective self-report measures of functional activities is a challenge to outcomes measurement and has implications for assessment of functional performance. Results are discussed in terms of the different dimensions that these tools are measuring and their respective strengths and limitations.

AB - Objectives: To investigate the relation between subjective and objective performance-based measures of functional status in persons with multiple sclerosis (MS), and to compare their performance with healthy controls. Design: A between-groups design, using a correlational approach to examine the relation between objective and subjective measures of functional capacity. Setting: Outpatient rehabilitation research institution. Seventy-four subjects with clinically definite MS and 35 healthy controls. Interventions: Not applicable. Main Outcome Measures: The Executive Function Performance Test (EFPT), Functional Assessment of Multiple Sclerosis (FAMS), and Functional Behavior Profile (FBP). Results: MS participants reported more difficulties performing functional tasks than did the healthy controls. MS participants also performed significantly worse on the EFPT than healthy controls. However, all correlations between subjective and objective functional measures were nonsignificant. After controlling for depressive symptomatology, EFPT performance was significantly associated with FBP scores, but not FAMS scores. Conclusions: The lack of association between objective performance-based measures and subjective self-report measures of functional activities is a challenge to outcomes measurement and has implications for assessment of functional performance. Results are discussed in terms of the different dimensions that these tools are measuring and their respective strengths and limitations.

KW - Activities of daily living

KW - Multiple sclerosis

KW - Outcome assessment (health care)

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=28844466880&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=28844466880&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2005.05.016

DO - 10.1016/j.apmr.2005.05.016

M3 - Article

C2 - 16344027

AN - SCOPUS:28844466880

VL - 86

SP - 2303

EP - 2308

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 12

ER -