Improving the Measurement of Late-Life Disability in Population Surveys Beyond ADLs and IADLs: Summary of a Workshop (2009) / Chapter Skim
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6 Research and Development Toward Improved Measures of Late-Life Disability
6 Research and Development Toward Improved Measures of Late-Life Disability
Pages 85-92
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From page 85... ...
There are opportunities that have not been fully realized in terms of an expanded array of functional outcome measures with regard to recovery. That is where time-use data could provide some new and unique insights, potentially for shorter periods of time than might otherwise be possible in the context of the traditional disability surveys, because the recovery process typically occurs over a relatively short period of time.
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From page 86... ...
Whichever method is used to measure disability, the data will show a negative association between prevalence of disability and socioeconomic status -- education level and income or wealth. Determining the causal mechanisms that may lead to this association is an important research question.
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From page 87... ...
Using biomarkers is a promising development that is now feasible. In addition, using administrative data -- on income, wealth, pension entitlements, and perhaps also on health care use, as some Euro pean countries do -- will help to improve data quality.
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From page 88... ...
They can also be asked how they feel about their health and how they feel about the activities they are able, or unable, to engage in. These types of inquiries have to be viewed as more of a research activity for which nationally representative population surveys are not necessarily required because they would be for monitoring trends and evaluating health policies.
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From page 89... ...
Jack Guralnik observed that although significant advances have been made moving forward from the medical model of disability to assessing function and disability in the whole older person, to understand trends in disability and to consider interventions to prevent disability, researchers will need to start looking more at the diseases underlying disability. These types of data would be very valuable for determining intervention strategies to prevent disability.
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From page 90... ...
Researchers working with disabilities among the working-age population would benefit from help in terms of defining disability either in population-based surveys or for programs such as Social Security Disability Insurance and Supplemental Security Income benefits. With the increase in the age for receiving Social Security benefits and other economic forces, work is going to be an increasing part of older life.
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From page 91... ...
Richard Suzman pointed out that cross-sectional population surveys are different from the collection of longitudinal data and one would not necessarily use the same questions. Also, different surveys have different purposes, and one should not impose a cross-sectional official survey framework on a research question.
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From page 92... ...
In this final session participants identified some of the major research areas and priorities that are emerging that they would like to see advanced by NIA and other organizations in terms of research and development, given the goal of improving the measurement of late-life disability in population surveys beyond ADLs and IADLs.
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