Interactive voice response version of the late-life function and disability instrument

Feng Hang Chang, Nancy K. Latham, Robert H. Friedman, Alan M. Jette

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Objectives To develop an interactive voice response (IVR) version of the Late-Life Function and Disability Instrument Computer Adaptive Test (LLFDI-CAT) and to evaluate its reliability and acceptability in older adults. Design The IVR system was embedded within the LLFDI-CAT program. To test the test-retest reliability and concordance of the IVR version of LLFDI-CAT with the telephone interviewer form (TIF), participants received the two versions of the LLFDI at baseline and at 1-week follow-up. Setting Community. Participants Community-dwelling adults aged 65 and older (N = 50). Measurements The LLFDI is a self-reported outcome measure developed to assess function and disability in older adults. Results The IVR version of the LLFDI-CAT showed acceptable overall test-retest reliability (intraclass correlation coefficient (ICC) = 0.79-0.80) and concordance (ICC = 0.74-0.97) with the TIF. Although most participants preferred the TIF, the majority did not find the IVR version more difficult to use. Conclusion The IVR version of the LLFDI-CAT achieved reliability levels that were comparable with those of the TIF version. Future work is needed to improve the IVR design to better fit older adults' needs and preferences.

Original languageEnglish
Pages (from-to)770-775
Number of pages6
JournalJournal of the American Geriatrics Society
Issue number4
Publication statusPublished - Apr 1 2015


  • aging
  • automated telephone system
  • disability
  • interactive voice response
  • participation

ASJC Scopus subject areas

  • Geriatrics and Gerontology


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