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Cut-off for the Life-Space Assessment in persons with cognitive impairment

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Abstract

Background

A version of the Life-Space Assessment in persons with cognitive impairment (LSA-CI) has recently been developed.

Aims

To establish a cut-off value for the newly developed Life-Space Assessment in persons with cognitive impairment (LSA-CI).

Methods

In a cross-sectional study including 118 multimorbid, older persons with cognitive impairment, life-space mobility (LSM) was documented by the LSA-CI. The analysis was rationalized by Global Positioning System (GPS)-based measures of spatial distance from home. A receiver-operating characteristic (ROC) curve was created and the cut-off point for the LSA-CI was identified with the Youden’s Index.

Results

ROC curve analysis indicated a critical value of 26.75 (within a range of 0–90) to differentiate between low and high LSM with a sensitivity of 78.1% and specificity of 84.2%.

Discussion

Diagnostic interpretation of the ROC curves revealed that low and high LSM groups can be differentiated with the proposed cut-off.

Conclusions

The proposed LSA-CI cut-off score can be recommended to tailor clinical interventions and evaluate change over time.

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Funding

This work was funded by the Social and Private Long-Term Care Insurance (Soziale und Private Pflegeversicherung) and the Municipal Association for Youth and Social Affairs in Baden-Württemberg (Kommunalverband für Jugend und Soziales Baden-Württemberg) (Grant no: 80221-208-009-01-01). Funders had no role in study concept and design, data collection, analysis and interpretation, and preparation of the manuscript.

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Authors and Affiliations

  1. AGAPLESION Bethanien Hospital Heidelberg, Geriatric Center at the University of Heidelberg, Rohrbacher Str. 149, 69126, Heidelberg, Germany

    Phoebe Ullrich, Christian Werner, Tobias Eckert, Martin Bongartz, Rainer Kiss, Jürgen M. Bauer & Klaus Hauer

  2. Center of Geriatric Medicine, University of Heidelberg, 69117, Heidelberg, Germany

    Christian Werner, Jürgen M. Bauer & Klaus Hauer

  3. FHM Bielefeld, University of Applied Sciences, 33602, Bielefeld, Germany

    Rainer Kiss

  4. Institute of Medical Biometry and Informatics, University of Heidelberg, 69120, Heidelberg, Germany

    Manuel Feißt

  5. Neuroscience Research Australia, Sydney, NSW, Australia

    Kim Delbaere

  6. School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia

    Kim Delbaere

Authors
  1. Phoebe Ullrich
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  2. Christian Werner
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  3. Tobias Eckert
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  4. Martin Bongartz
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  5. Rainer Kiss
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  6. Manuel Feißt
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  7. Kim Delbaere
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  8. Jürgen M. Bauer
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  9. Klaus Hauer
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Corresponding author

Correspondence to Klaus Hauer.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the national research committee and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Written informed consent was obtained from all individual participants included in the study.

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Ullrich, P., Werner, C., Eckert, T. et al. Cut-off for the Life-Space Assessment in persons with cognitive impairment. Aging Clin Exp Res 31, 1331–1335 (2019). https://doi.org/10.1007/s40520-018-1062-2

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  • DOI: https://doi.org/10.1007/s40520-018-1062-2

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