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Table 10 Relationship between the German version of the ASCOT domains for the expected LTC-QoL states in absence of services and functional abilities: (instrumental) activities of daily living ((I)ADLs)

From: Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT)

ASCOT Domains

CONTROL OVER DAILY LIFE without LTC services

PERSONAL CLEANLINESS without LTC services

FOOD AND DRINK without LTC services

ACCOMMODATION without LTC services

Response Levels

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

 

n

254

217

83

67

 

147

178

136

151

 

155

117

110

226

 

114

210

141

116

 

(I)ADL limitations index, mean (sd)

 

17.33 (8.04)

12.57 (6.85)

11.2 (7.71)

9.09 (6.96)

30.65***

19.8 (7.95)

15.25 (6.93)

11.96 (6.5)

8.55 (6.11)

67.96***

18.03 (7.94)

13.89 (6.63)

13.12 (6.98)

11.67 (8.24)

20.35***

16.89 (8.19)

11.6 (7.04)

13.38 (7.61)

15.57 (8.74)

13.71***

Getting in and out of bed

% can only do with help

31.5

11.98

14.46

4.48

***

              

Washing hands and face

17.32

3.69

6.02

2.99

***

22.45

9.55

2.09a

***

          

Taking a bath or shower

79.13

62.5

57.83

35.82

***

89.73

84.27

54.41

32.45

***

          

Dressing or undressing

53.54

30.41

27.71

22.39

***

65.31

43.82

29.41

14.57

***

          

Using the toilet

28.85

8.76

13.25

5.97

***

41.1

12.92

10.29

5.30

***

30.32

11.11

11.82

14.6

***

     

Eating, including cutting up food

22.05

12.44

8.43

7.46

***

     

25.64

14.53

11.82

10.62

***

     

Taking medicine

40.24

18.52

15.66

17.91

***

               

Getting around indoors

18.9

5.99

7.23

2.99

***

               

Getting up and down the stairs

58.92

42.33

34.15

22.39

***

               

Getting out of the house

71.83

55.76

44.58

38.81

***

               

Shopping routine

87.2

72.77

69.14

56.92

***

     

90.26

78.26

70.91

69.72

***

     

Housework

87.04

73.61

59.76

54.69

***

          

91.2

69.12

70.07

76.03

***

Paperwork or paying bills

61.6

45.33

43.21

40

***

               

ASCOT Domains

 

PERSONAL SAFETY without LTC services

SOCIAL PARTICIPATION without LTC services

OCCUPATION without LTC services

 
 

Response Levels

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

High Needs

Some Needs

No Needs

Ideal State

F stat Sign.

 
 

n

121

164

164

133

 

114

167

149

166

 

86

166

145

175

  

(I)ADL limitations index, mean (sd)

 

18.27 (7.60)

14.63 (7.47)

12.38 (7.10)

10.96 (8.34)

22.65***

15.69 (8.10)

14.56 (7.51)

14.26 (8.73)

11.49 (7.40)

7.18***

18.22 (8.31)

15.11 (7.78)

12.52 (7.62)

11.62 (7.40)

16.99***

 

Getting in and out of bed

% can only do with help

35.11

17.34

14.53

11.97

***

     

38.54

21.14

15.38

12.97

***

 

Washing hands and face

          

20.83

10.29

7.69

4.86

***

 

Taking a bath or shower

80.00

67.63

60.47

56.34

***

     

77.08

76.00

60.00

56.76

***

 

Dressing or undressing

          

57.29

44.57

29.49

31.35

***

 

Using the toilet

          

34.74

20.00

11.54

10.81

***

 

Eating, including cutting up food

          

26.04

16.00

14.10

9.73

***

 

Taking medicine

34.62

35.84

18.24

19.15

***

     

32.29

35.43

20.78

21.20

***

 

Getting around indoors

19.85

10.98

6.40

5.63

***

     

29.17

12.57

7.05

4.86

***

 

Getting up and down the stairs

61.11

50.29

38.82

34.31

***

     

65.56

50.58

38.82

36.81

***

 

Getting out of the house

74.81

60.82

56.40

45.77

***

     

74.74

63.79

52.56

51.89

***

 

Shopping routine

93.8

79.41

71.60

64.03

***

     

92.63

79.19

71.71

70.00

***

 

Housework

88.37

79.53

71.43

64.03

***

     

90.43

80.35

69.54

66.48

***

 

Paperwork or paying bills

          

61.29

55.75

47.06

43.89

***

 
  1. Notes: ANOVA ((I)ADL limitations index) and Fisher’s exact test (individual (I)ADLs) were used, a highest two levels of attribute are collapsed
  2. ***significant at 1% level, ** significant at 5% level, * significant at 10% level; Benjamini & Hochberg correction for multiple testing applied
  3. Source: WU, EXCELC INT SU AUT 2016/2017