Project: Research project

Project Details


The purpose of this proposal is to develop and field test two complementary
approaches to the measurement of functional status in persons with AIDS.
The first approach involves adaptation of nomothetic activities of daily
living (ADL) and instrumental activities of daily living (IADL) methods
developed for techniques used to assess individuals' goal directed
activity. Each approach is intended to address specific assessment
problems in service delivery and evaluation. The specific aims of this study are: (1) to develop a nomothetic
behavioral assessment measure, that: a) can be completed by both care
recipients and providers, b) addresses difficulties relevant to PWAs, c)
describes both basic and higher-order aspects of functioning, and d)
identifies needed resources. (2) to develop an idiographic interview that:
a) emphasizes current concerns and goals of AIDS patients, b) describes
goal attainment activities, and c) describes performance of these
activities. (3) to evaluate the psychometric properties of measures. (4)
to test specific hypotheses related to the construct validity of these
measures, and (5) to provide an empirical base for making methodological
decisions which bear on a wide variety of assessment applications. The proposed project will be carried out in two phases. The measurement
development phase will involve focus group sessions and individual
interviews with people with AIDS care partners, and health care providers
to ensure that measures are relevant and clear to these constituencies.
The field test phase will involve empirical research on 225 residents in
three facilities. This field test will provide detailed information on
psychometric properties of measures, as well as construct validity
demonstrated by relationships with treatment and service usage, history of
illness, concurrent measures of health and well-being, and predictions of
health outcomes and subsequent use of services.
Effective start/end date7/1/916/30/93


  • Medicine(all)
  • Infectious Diseases


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