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Titre : | Psychometric Evaluation of an ICF-Based Instrumental Activities of Daily Living Assessment With Older Adults With Cognitive Decline. (2020) |
Auteurs : | I-Ching Chuang ; Wen-Chuin Hsu ; Chia-Ling Chen ; Yih-Ru Wu ; Hui-Yan Chiau ; Ching-Yi Wu |
Type de document : | Article |
Dans : | American journal of occupational therapy (Vol. 74, n° 6, November/December 2020) |
Article en page(s) : | p. 1-8 |
Note générale : | doi:10.5014/ajot.2020.039354 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Psychométrie ; Services de santé communautaires ; Sujet âgé ; Sujet âgé de 80 ans ou plus ; Troubles cognitifs |
Résumé : |
Importance: Identifying cognitive or physical limitations that contribute to difficulties in instrumental activities of daily living (IADLs) is critical for adequate intervention with community-dwelling older adults with cognitive decline.
Objective: To establish the validity and responsiveness of an IADL scale based on the International Classification of Functioning, Disability and Health (the ICFIADL) with respect to both cognitive and physical limitations. Design: Cross-sectional study. Setting: Multiple community care and senior centers. Participants: Eighty-two older adults. Intervention: Combination of physical exercise and cognitive training. Measures: Five criterion measuresLawton IADL Scale, Montreal Cognitive Assessment (MoCA), Digit Symbol Substitution Test (DSS), Word Lists Test (WLT), and Timed Up and Go Test (TUG). Results: The ICFIADL's three summary scalesDisability Index (DI), Cognitive Disability Index (CDI), and Physical Disability Index (PDI)had good concurrent validity with the Lawton IADL Scale. The DI and CDI had moderate to good associations with the MoCA. The DI's and CDI's predictive validity for scores on the Lawton IADL Scale, MoCA, and TUG was moderate to good and that of the PDI was fair. Responsiveness was large for the DI, moderate for the CDI, and small for the PDI. Conclusions and Relevance: The ICFIADL can be used to measure disability in IADLs related to cognitive and physical limitations. The DI and CDI were better than the PDI in predicting outcomes in general cognitive function and dynamic balance and were more responsive to change after intervention than the PDI. What This Article Adds: The ICFIADL addresses both cognitive and physical limitations and can be a valid assessment of IADLs. Occupational therapists can use it to determine difficulties in IADLs and causes of those difficulties, guide treatment planning, and monitor intervention effectiveness with community-dwelling older adults with cognitive decline. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147387205&site=ehost-live |