Interest in using existing databases for outcomes analysis is growing. The MDS+ is one of the few clinical data sets available, however, no studies have been published that have looked at the functional status elements within this dataset for use usefulness in outcomes analysis. The purpose of this study was to examine the frequency of dependence in tasks associated with functional status as documented in the South Dakota MDS+ and to compare dependencies to the National Long Term Care Survey, the National Medical Expenditure Survey, the National Health Interview Survey, and the National Nursing Home Survey. Secondary analysis of 11,793 admission assessments was performed. The sample consisted of all South Dakota Nursing Home admission assessments from October 1990 through January 1995. Reliability of ADL measures within the MDS has been previously reported as .75. Inter-rater reliability in the South Dakota MDS+ dataset has been reported to be at least .81 on each variable. Over 37% of All assessments report dependencies in all six ADL tasks. In addition, another 35%report dependencies in at least four ADL tasks. The MDS+ data and the NNHS data were found to have similar frequencies which strengthen the validity of the MDS+ as a hypothesis generating research instrument on nursing home residents. Both the MDS+ and the NNHS ADL tasks present a hierarchical order. In addition, a previously undescribed hierarchical relationship was found within the Lawton lADL tasks when data from the four national surveys were compared. This study provides the basis for future work using the MDS+ for functional status outcomes analysis. Issues are raised regarding the inclusion of lADL items in the MDS+ if we are to link databases and inform health policy across settings of care.
","abstract_html":"<p>Interest in using existing databases for outcomes analysis is growing. The MDS+ is one of the few clinical data sets available, however, no studies have been published that have looked at the functional status elements within this dataset for use usefulness in outcomes analysis. The purpose of this study was to examine the frequency of dependence in tasks associated with functional status as documented in the South Dakota MDS+ and to compare dependencies to the National Long Term Care Survey, the National Medical Expenditure Survey, the National Health Interview Survey, and the National Nursing Home Survey. Secondary analysis of 11,793 admission assessments was performed. The sample consisted of all South Dakota Nursing Home admission assessments from October 1990 through January 1995. Reliability of ADL measures within the MDS has been previously reported as .75. Inter-rater reliability in the South Dakota MDS+ dataset has been reported to be at least .81 on each variable. Over 37% of All assessments report dependencies in all six ADL tasks. In addition, another 35%report dependencies in at least four ADL tasks. The MDS+ data and the NNHS data were found to have similar frequencies which strengthen the validity of the MDS+ as a hypothesis generating research instrument on nursing home residents. Both the MDS+ and the NNHS ADL tasks present a hierarchical order. In addition, a previously undescribed hierarchical relationship was found within the Lawton lADL tasks when data from the four national surveys were compared. This study provides the basis for future work using the MDS+ for functional status outcomes analysis. Issues are raised regarding the inclusion of lADL items in the MDS+ if we are to link databases and inform health policy across settings of care.</p>","abstract_has_math":false,"creators":["Hemphill, Denise S."],"institution":null,"degree_name":"Master of Science (MS)","degree_level":"Thesis - University Access Only","degree_discipline":"Graduate Nursing","degree_department":null,"school":null,"contributors":["Marcelline Harris"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1996,"date_issued":"1996-01-01T08:00:00Z","date_published":"1996-01-01T08:00:00Z","updated_at":"2026-07-24T04:28:23Z","subjects":["older people","functional assessment","outcome assessment databases","Nursing"],"languages":["en"],"rights":["Copyright © 1996 Denise Hemphill. All rights reserved"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://openprairie.sdstate.edu/etd/847","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Marcelline Harris"]},{"key":"dc:creator","label":"Author","values":["Hemphill, Denise S."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Graduate Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis - University Access Only"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science (MS)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["older people","functional assessment","outcome assessment databases","Nursing"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright © 1996 Denise Hemphill. All rights reserved"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://openprairie.sdstate.edu/etd/847"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Interest in using existing databases for outcomes analysis is growing. The MDS+ is one of the few clinical data sets available, however, no studies have been published that have looked at the functional status elements within this dataset for use usefulness in outcomes analysis. The purpose of this study was to examine the frequency of dependence in tasks associated with functional status as documented in the South Dakota MDS+ and to compare dependencies to the National Long Term Care Survey, the National Medical Expenditure Survey, the National Health Interview Survey, and the National Nursing Home Survey. Secondary analysis of 11,793 admission assessments was performed. The sample consisted of all South Dakota Nursing Home admission assessments from October 1990 through January 1995. Reliability of ADL measures within the MDS has been previously reported as .75. Inter-rater reliability in the South Dakota MDS+ dataset has been reported to be at least .81 on each variable. Over 37% of All assessments report dependencies in all six ADL tasks. In addition, another 35%report dependencies in at least four ADL tasks. The MDS+ data and the NNHS data were found to have similar frequencies which strengthen the validity of the MDS+ as a hypothesis generating research instrument on nursing home residents. Both the MDS+ and the NNHS ADL tasks present a hierarchical order. In addition, a previously undescribed hierarchical relationship was found within the Lawton lADL tasks when data from the four national surveys were compared. This study provides the basis for future work using the MDS+ for functional status outcomes analysis. Issues are raised regarding the inclusion of lADL items in the MDS+ if we are to link databases and inform health policy across settings of care.
"]},{"key":"dc:title","label":"Title","values":["Functional Status Assessment: Comparison of MDS+ Data with National Population Based Surveys"]}]}],"canonical_facts":{"dc:contributor":["Marcelline Harris"],"dc:creator":["Hemphill, Denise S."],"dc:description.abstract":["Interest in using existing databases for outcomes analysis is growing. The MDS+ is one of the few clinical data sets available, however, no studies have been published that have looked at the functional status elements within this dataset for use usefulness in outcomes analysis. The purpose of this study was to examine the frequency of dependence in tasks associated with functional status as documented in the South Dakota MDS+ and to compare dependencies to the National Long Term Care Survey, the National Medical Expenditure Survey, the National Health Interview Survey, and the National Nursing Home Survey. Secondary analysis of 11,793 admission assessments was performed. The sample consisted of all South Dakota Nursing Home admission assessments from October 1990 through January 1995. Reliability of ADL measures within the MDS has been previously reported as .75. Inter-rater reliability in the South Dakota MDS+ dataset has been reported to be at least .81 on each variable. Over 37% of All assessments report dependencies in all six ADL tasks. In addition, another 35%report dependencies in at least four ADL tasks. The MDS+ data and the NNHS data were found to have similar frequencies which strengthen the validity of the MDS+ as a hypothesis generating research instrument on nursing home residents. Both the MDS+ and the NNHS ADL tasks present a hierarchical order. In addition, a previously undescribed hierarchical relationship was found within the Lawton lADL tasks when data from the four national surveys were compared. This study provides the basis for future work using the MDS+ for functional status outcomes analysis. Issues are raised regarding the inclusion of lADL items in the MDS+ if we are to link databases and inform health policy across settings of care.
"],"dc:identifier":["https://openprairie.sdstate.edu/etd/847"],"dc:language":["en"],"dc:rights":["Copyright © 1996 Denise Hemphill. All rights reserved"],"dc:subject":["older people","functional assessment","outcome assessment databases","Nursing"],"dc:title":["Functional Status Assessment: Comparison of MDS+ Data with National Population Based Surveys"],"thesis:degree_discipline":["Graduate Nursing"],"thesis:degree_level":["Thesis - University Access Only"],"thesis:degree_name":["Master of Science (MS)"]},"updated_at":"2026-07-24T04:28:23Z"}