The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Frank, L.
Right arrow Articles by Rothman, M.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Frank, L.
Right arrow Articles by Rothman, M.
The Gerontologist 41:778-786 (2001)
© 2001 The Gerontological Society of America

Use of a Self-Report Constipation Questionnaire With Older Adults in Long-Term Care

Lori Frank, PhDa, Jennifer Flynn, MSPHb and Margaret Rothman, PhDc

a MEDTAP® International, Inc., Bethesda, MD,
b Eli Lilly and Company, Indianapolis, IN
c RW Johnson Pharmaceutical Research Institute, Raritan, NJ

Correspondence: Lori Frank, PhD, MEDTAP International, Inc., 7101 Wisconsin Ave., Suite 600, Bethesda, MD 20814. E-mail: Frank{at}

Decision Editor: Laurence G. Branch, PhD

Purpose: The Patient Assessment of Constipation (PAC), a symptom and quality-of-life inventory, was developed among community-dwelling adults under age 65. The purpose of this study was to evaluate the feasibility and validity of an interview format of the PAC for older adults residing in long-term care. Design and Methods: The PAC was administered to 24 nursing home residents aged 65 and older. Cognitive interviewing methods were used to evaluate subjects' understanding and interpretation of PAC items. Results: The PAC interview required an average of 11 min, 15 s, to complete. Administration modifications for this population included rereading Likert anchor points and the stem question for each item. Subject item interpretation was generally accurate, as was interpretation of Likert anchors. Implications: The PAC is easily administered and well understood by older adult residents in long-term care and provides a brief method for obtaining constipation-specific symptom and quality-of-life data from this population.

Key Words: Questionnaire feasibility • Constipation • Frail elderly persons • Think-aloud approach • Cognitive debriefing

This article has been cited by other articles:

Home page
Obstet GynecolHome page
A. Shariati, J. S. Maceda, and D. S. Hale
High-Fiber Diet for Treatment of Constipation in Women With Pelvic Floor Disorders
Obstet. Gynecol., April 1, 2008; 111(4): 908 - 913.
[Abstract] [Full Text] [PDF]

Home page
Palliat MedHome page
F. E M Murtagh, J. M Addington-Hall, and I. J Higginson
The value of cognitive interviewing techniques in palliative care research
Palliative Medicine, March 1, 2007; 21(2): 87 - 93.
[Abstract] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 2001 by The Gerontological Society of America.