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Working Paper No.3 Add.1 11 November 2005

Working Paper No.3 Add.1 11 November 2005 STATISTICAL COMMISSION and STATISTICAL OFFICE OF THE UN ECONOMIC COMMISSION FOR EUROPEAN COMMUNITIES EUROPE (EUROSTAT) CONFERENCE OF EUROPEAN WORLD HEALTH STATISTICIANS ORGANIZATION (WHO)

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Working Paper No.3 Add.1 11 November 2005

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  1. Working Paper No.3 Add.1 11 November 2005 STATISTICAL COMMISSION and STATISTICAL OFFICE OF THE UN ECONOMIC COMMISSION FOR EUROPEAN COMMUNITIES EUROPE (EUROSTAT) CONFERENCE OF EUROPEAN WORLD HEALTH STATISTICIANS ORGANIZATION (WHO) Joint UNECE/WHO/Eurostat Meeting on the Measurement of Health Status (Budapest, Hungary, 14-16 November 2005) Session 3 – Invited paper Physical function: Mobility Jennifer MadansNational Center for Health Statistics, U.S.A

  2. Physical Functioning: Mobility • Concept: • Questions on this aspect of functioning are found on most health surveys • Getting from one place to another using lower limbs • Generally measured by walking and climbing steps; less often by running • Related lower body functions – bending, stooping, crouching • Specification of tasks: • Distance • Speed • Surface (e.g. level vs. incline; type of material; barriers) • Attribution: • Musculoskeletal conditions, missing limbs • Vision • Heart, Circulatory or Respiratory conditions • Neurological conditions relating to balance • Pain • Fatigue

  3. Proposed items for measuring physical function – mobility: • By yourself, and without using any special equipment, how much difficulty do you have… • …Walking a few steps? • …Walking a quarter of a mile/about 3 city blocks/xxx meters? • …Walking up 10 steps with resting? • …Running a short way (about xxx meters)? • NO DIFFICULTY • ONLY A LITTLE DIFFICULTY • SOME DIFFICULTY • A LOT OF DIFFICULTY • CAN’T DO AT ALL

  4. Mobility: Characteristics ofProposed Questions • Filter Question: • Not used: concern that use would eliminate less severe difficulties • Assistive Devices: • Optimum to obtain information on the use of devices and level of difficulty with and without any devices used • If not possible, obtain level of functioning without the use of devices • Recall period/chronicity: • Not specified • Response categories • No difficulty to can’t do at all • Severity • Measured for each activity • Activities also vary in difficulty so a more complex hierarchy could be obtained

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