Activities of daily living (ADL) and instrumental activities of daily living (IADL) items were stable over time in a longitudinal study on aging

Finlayson, Marcia; Mallinson, Trudy; Barbosa, V. M.

doi:10.1016/j.jclinepi.2004.10.008

Cited by 62 publications

(66 citation statements)

References 9 publications

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“…These findings are in accordance with others. [53] Among home dwelling elderly there were small differences in gaps and no differences in hierarchical ranking stratified by gender or age (results not shown), which is in accordance with others. [26] Large differences between the difficulty parameters of the variables studied highlight areas where the IPLOS system could have a low level of precision.…”

Section: Discussionsupporting

confidence: 90%

“…This is in contrast to others who found that cooking, unlike other tasks, was considered as less difficult in a nursing home setting than among home dwelling elderly. [53] However, the level of difficulty for performing different tasks was generally higher for the elderly living in nursing homes. This result suggests that the transition from home care to nursing home care is attributable to a general worsening of disability more than to a sudden change in the capacity to perform specific tasks, and thus that setting (home vs institutional care) in our case is a proxy for severity.…”

Section: Discussionmentioning

confidence: 99%

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Physical disability and cognitive impairment among recipients of long-term care

Døhl

Garåsen²,

Kalseth

et al. 2016

JNEP

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Background and objective: For practical policy purposes variables describing disability and impairment should be aggregated into broader factors. By using data from a Norwegian mandatory system the objective of this study was to analyse whether the number of factors describing the need for long-term care differs between recipients of home care and nursing home residents and according to the age or gender of long-term care recipients. The hierarchical order of the variables within each factor is determined to assess whether there are important informational gaps in the description of recipients. Methods: Data are from a mandatory system characterizing all recipients of public long term care in Norway. Two groups of public care recipients were included: elderly (67 years and older) individuals receiving home care services (N = 2,493) and patients in nursing homes (N = 1,218). Exploratory factor analysis (EFA), Confirmatory factor analysis (CFA) and item response analysis (IRT) were used to determine the number of factors and the hierarchical structures of the variables. Results: Two factors were sufficient to characterise need for both nursing home residents and home dwelling elderly. This result is not sensitive to stratification by age and gender. IRT analysis revealed large informational gaps suggesting that the used instrument fails to sufficiently capture important aspects of user needs. Conclusions: Factorization suggests that all elderly long term care users can be adequately described along two dimensions; on reflecting physical disability and one reflecting cognitive impairment. However, both the number of factors and the variable contained in each factor are likely to depend on the instrument used to characterise LTC users. Large informational gaps suggest a need to supplement the national information system used in Norway.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Physical disability and cognitive impairment among recipients of long-term care

Døhl

Garåsen²,

Kalseth

et al. 2016

JNEP

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“…Esta situação espelha a realidade das instituições residenciais para pessoas idosas, que habitualmente integram pessoas com idades bastante avançadas (Finlayson, Mallinson & Barbosa, 2005). A mesma tendência é visível nalguns valores referentes ao consumo de cuidados de saúde, que é mais alto em idosos institucionalizados, mais velhos, com maiores co morbilidades, de acordo com o número de doenças reportadas pelos sujeitos da amostra, apesar de não terem diferenças significativas entre os grupos.…”

Section: Discussionunclassified

Avaliação da capacidade de realização de atividades da vida diária em pessoas idosas estudo longitudinal comparativo

Pinheira

Coutinho

Crisóstomo

et al. 2015

riase

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“…Previous hierarchical analysis of this item found it to be the second most difficult task in a scale containing 12 items [40] . Because the items of the Townsend Functional Ability Scale conform to a formal hierarchy, the most difficult activities can act as early signals of impending disability in the other activities [41] .…”

Section: Discussionmentioning

confidence: 99%

A Revised Activities of Daily Living/Instrumental Activities of Daily Living Instrument Increases Interpretive Power: Theoretical Application for Functional Tasks Exercise

et al. 2009

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Background: As the number of adults in older age groups expands, difficulty performing usual activities of daily life is a rising health concern. A common exercise regimen employed to attenuate functional decline and disability has been resistance strength training. However, recent evidence suggests that functional tasks exercise may be more effective in preventing disability. Objective: Activities of Daily Living (ADL) measures are one of the most widely used tools in gerontology, and yet the full sensitivity of these instruments is often not realized. The purpose of this study is to enhance the interpretive power of ADL by formally confirming a hierarchy of decline, assessing discriminatory power, and examining option characteristic curves. Theoretically, a revised ADL instrument can improve the efficacy of functional tasks training programs. Methods: This was a cross-sectional study that employed Item Response Theory (IRT) to interpret ADL outcomes. Participants consisted of community-dwelling older adults (n = 548, aged 79) living in Scotland. Results: A Mokken scale with ρ = 0.77 was obtained, indicating good reliability, and satisfying the IRT assumption that a single unidimensional scale is present. The set H coefficient of 0.48 indicated that the scale may be ordered by decreasing difficulty, with the ‘Cut your own toe-nails?’ item being the most difficult and ‘Tie a good knot in a piece of string?’ being the least difficult. Discriminatory and option characteristic parameters revealed ‘Get on a bus?’ to be the task most closely related to the latent construct and that item options can be used to ascertain critical thresholds for prevention type strategies. Conclusions: Examining parameters relating to difficulty, discriminatory power, and option characteristics facilitated the identification of ADL/Instrumental ADL items that may serve to enhance functional task training in community-dwelling older adults. These analyses demonstrated that functional tasks have differing levels of discriminatory power, and that a task’s discriminatory power is likely to change with varying levels of disability. This observation reinforces the notion that exercises based on functional tasks may differ significantly in their therapeutic effect. Lastly, this study was able to highlight statistically meaningful cut-points relating to when older adults should begin ‘prehabilitation’ interventions.

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Activities of daily living (ADL) and instrumental activities of daily living (IADL) items were stable over time in a longitudinal study on aging

Cited by 62 publications

References 9 publications

Physical disability and cognitive impairment among recipients of long-term care

Physical disability and cognitive impairment among recipients of long-term care

Avaliação da capacidade de realização de atividades da vida diária em pessoas idosas estudo longitudinal comparativo

A Revised Activities of Daily Living/Instrumental Activities of Daily Living Instrument Increases Interpretive Power: Theoretical Application for Functional Tasks Exercise

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