{"title":"我们都做同样的事情吗?人口统计学交叉学科中日常活动的适用性。","authors":"David Andrés González, Jared F Benge","doi":"10.1037/neu0000956","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the extent to which demographic factors-and their intersections-influence the applicability of items assessing activities of daily living (ADLs) in a sample of older adults.</p><p><strong>Method: </strong>Participants' (<i>n</i> = 44,713) Functional Activities Questionnaire (FAQ) scores from a multicenter database were evaluated to see how participant and collateral demographics, contextual, and clinical characteristics impacted ADL nonapplicability (NA). Collateral, contextual, and clinical characteristics were matched in those with and without NA. The effect of participant demographics and their interactions on NA responses were modeled with logistic regression.</p><p><strong>Results: </strong>At least one FAQ item (most commonly bill payment, taxes, playing games, and meal preparation) was rated as NA in up to one third of participants across ethnoracial groups. Dementia staging had the largest impact on NA, followed by participant demographics. In a matched sample, logistic models revealed that participant demographics, in particular sex, best predicted NA. However, meaningful interactions with ethnoracial group were noted for bill payment, taxes, meal preparation, and game engagement, suggesting that demographic intersections (e.g., younger vs. older Latinxs) meaningfully predict whether a given ADL was applicable to an individual participant.</p><p><strong>Conclusions: </strong>Neuropsychology is predicated on accurate assessments of both cognition and daily functioning and, in an increasingly diverse aging population, there should be careful consideration of demographic factors, their interactions, and historical contexts that drive day-to-day demands. This study establishes limitations of existing measures and paths forward for creating fair measures of functioning in older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":19205,"journal":{"name":"Neuropsychology","volume":" ","pages":"379-391"},"PeriodicalIF":2.6000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11443853/pdf/","citationCount":"0","resultStr":"{\"title\":\"Do we all do the same things? Applicability of daily activities at the intersection of demographics.\",\"authors\":\"David Andrés González, Jared F Benge\",\"doi\":\"10.1037/neu0000956\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the extent to which demographic factors-and their intersections-influence the applicability of items assessing activities of daily living (ADLs) in a sample of older adults.</p><p><strong>Method: </strong>Participants' (<i>n</i> = 44,713) Functional Activities Questionnaire (FAQ) scores from a multicenter database were evaluated to see how participant and collateral demographics, contextual, and clinical characteristics impacted ADL nonapplicability (NA). Collateral, contextual, and clinical characteristics were matched in those with and without NA. The effect of participant demographics and their interactions on NA responses were modeled with logistic regression.</p><p><strong>Results: </strong>At least one FAQ item (most commonly bill payment, taxes, playing games, and meal preparation) was rated as NA in up to one third of participants across ethnoracial groups. Dementia staging had the largest impact on NA, followed by participant demographics. In a matched sample, logistic models revealed that participant demographics, in particular sex, best predicted NA. However, meaningful interactions with ethnoracial group were noted for bill payment, taxes, meal preparation, and game engagement, suggesting that demographic intersections (e.g., younger vs. older Latinxs) meaningfully predict whether a given ADL was applicable to an individual participant.</p><p><strong>Conclusions: </strong>Neuropsychology is predicated on accurate assessments of both cognition and daily functioning and, in an increasingly diverse aging population, there should be careful consideration of demographic factors, their interactions, and historical contexts that drive day-to-day demands. This study establishes limitations of existing measures and paths forward for creating fair measures of functioning in older adults. 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引用次数: 0
摘要
目的评估人口统计学因素及其交叉因素在多大程度上影响了日常生活活动(ADLs)评估项目在老年人样本中的适用性:方法: 评估多中心数据库中参与者(n = 44,713 人)的功能活动问卷(FAQ)得分,以了解参与者和附带人口统计学特征、背景和临床特征对 ADL 不适用性(NA)的影响。在有和没有 NA 的患者中,附带特征、环境特征和临床特征是匹配的。采用逻辑回归法模拟了受试者人口统计学特征及其交互作用对 NA 反应的影响:在不同种族群体中,至少有一项常见问题(最常见的是账单支付、纳税、玩游戏和准备膳食)在多达三分之一的参与者中被评为 "NA"。痴呆症分期对 "无 "的影响最大,其次是参与者的人口统计学特征。在匹配样本中,逻辑模型显示,参与者的人口统计学特征,尤其是性别,最能预测 NA。然而,在支付账单、纳税、准备膳食和参与游戏等方面,人种群体之间也存在有意义的交互作用,这表明人种交叉(如年轻拉丁裔与年长拉丁裔)可有效预测特定的日常活动能力是否适用于个体参与者:结论:神经心理学的前提是对认知和日常功能进行准确评估,在日益多样化的老龄人口中,应仔细考虑人口因素、其相互作用以及推动日常需求的历史背景。本研究确定了现有测量方法的局限性,以及创建公平的老年人功能测量方法的前进方向。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
Do we all do the same things? Applicability of daily activities at the intersection of demographics.
Objective: To evaluate the extent to which demographic factors-and their intersections-influence the applicability of items assessing activities of daily living (ADLs) in a sample of older adults.
Method: Participants' (n = 44,713) Functional Activities Questionnaire (FAQ) scores from a multicenter database were evaluated to see how participant and collateral demographics, contextual, and clinical characteristics impacted ADL nonapplicability (NA). Collateral, contextual, and clinical characteristics were matched in those with and without NA. The effect of participant demographics and their interactions on NA responses were modeled with logistic regression.
Results: At least one FAQ item (most commonly bill payment, taxes, playing games, and meal preparation) was rated as NA in up to one third of participants across ethnoracial groups. Dementia staging had the largest impact on NA, followed by participant demographics. In a matched sample, logistic models revealed that participant demographics, in particular sex, best predicted NA. However, meaningful interactions with ethnoracial group were noted for bill payment, taxes, meal preparation, and game engagement, suggesting that demographic intersections (e.g., younger vs. older Latinxs) meaningfully predict whether a given ADL was applicable to an individual participant.
Conclusions: Neuropsychology is predicated on accurate assessments of both cognition and daily functioning and, in an increasingly diverse aging population, there should be careful consideration of demographic factors, their interactions, and historical contexts that drive day-to-day demands. This study establishes limitations of existing measures and paths forward for creating fair measures of functioning in older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍:
Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.