Cross-cultural Ranking of IADL Skills

Truscott, Deborah J.

doi:10.1080/13557850050007365

Cited by 4 publications

(8 citation statements)

References 21 publications

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“…A second skill level is called instrumental activities of daily living (IADL). It includes all functions at the basic level, but adds to it activities that allow individuals to remain independent in the community such as shopping, taking medication, and financial management (Lawton, Moss, Fulcomer, & Kleban, 1982;Truscott, 2000). Functional ability is important to care-giving in the elderly because, as individuals age, medical diagnoses are not a good measure of their ability to remain independent.…”

Section: The Health Outcomementioning

confidence: 99%

Spiritual Influences on Ability to Engage in Self-Care Activities among Older African Americans

Upchurch

Mueller

2005

Int J Aging Hum Dev

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The influence of spiritual factors on the ability of African-American elders to carry out instrumental activities of daily living (IADL) independent of age, gender, education, and self-rated health is explored using the religion-health explanatory model in a cross-sectional sample of 96 African-American community dwelling adults 62 to 93 years of age. The Reed spiritual perspective (SPS) and self-transcendence (STS) scales are used to study spiritual factors (Reed, 1991). The typical respondent was 75 years of age, female, widowed with 10.4 years of education. Self-rated health and age are strongly related to IADL in models that include the other variables (R2 = 0.41, p < 0.01). Those who are younger and those who self-report better health have higher IADL scores than those without these characteristics. Spiritual factors are significantly related to IADL in a model that includes an interaction of STS with education (R2= 0.50). Among the least educated, STS is associated with higher scores of IADL. Addition of the interaction to the model resulted in a significant positive association of both STS and education with IADL. SPS was unrelated to IADL. Caregivers concerned with functional ability may want to consider interventions based on increasing a sense of self-transcendence, and to consider educational level as a potential moderator of this relationship. Criticism of the religion-health literature has suggested that putative health effects of religion may be exaggerated, because of failure to take confounding variables into account (Sloan, Bagiella, & Powell, 1999). However, this study and a recent survey by Musick, House, and Williams (2004) are evidence that it is just as likely that health benefits of religion would be hidden by confounders as that they would be exaggerated by them.

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Section: The Health Outcomementioning

confidence: 99%

Spiritual Influences on Ability to Engage in Self-Care Activities among Older African Americans

Upchurch

Mueller

2005

Int J Aging Hum Dev

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“…In recently drafted industry guidelines, the U.S. Food and Drug Administration (FDA) recommended the use of functional impairment as a measure for effectiveness of treatment and of disease progression 7 . It is a potential global outcome measure in dementia research 8,9 …”

Section: Introductionmentioning

confidence: 99%

“…7 It is a potential global outcome measure in dementia research. 8,9 Because everyday functioning relates to daily life, IADLs may be especially sensitive to bias caused by various factors, such as age, gender, and cultural differences. Previous studies have shown gender effects on traditional IADL instruments, [9][10][11][12] as they include predominantly household activities, which may be performed more often by women.…”

Section: Introductionmentioning

confidence: 99%

The influence of diversity on the measurement of functional impairment: An international validation of the Amsterdam IADL Questionnaire in eight countries

Dubbelman

Verrijp

Facal

et al. 2020

Alzheimer's & Dementia: Diagnosis, Assessment &

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Introduction To understand the potential influence of diversity on the measurement of functional impairment in dementia, we aimed to investigate possible bias caused by age, gender, education, and cultural differences. Methods A total of 3571 individuals (67.1 ± 9.5 years old, 44.7% female) from The Netherlands, Spain, France, United States, United Kingdom, Greece, Serbia, and Finland were included. Functional impairment was measured using the Amsterdam Instrumental Activities of Daily Living (IADL) Questionnaire. Item bias was assessed using differential item functioning (DIF) analysis. Results There were some differences in activity endorsement. A few items showed statistically significant DIF. However, there was no evidence of meaningful item bias: Effect sizes were low (ΔR2 range 0‐0.03). Impact on total scores was minimal. Discussion The results imply a limited bias for age, gender, education, and culture in the measurement of functional impairment. This study provides an important step in recognizing the potential influence of diversity on primary outcomes in dementia research.

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“…Scores were highly correlated with the Mini-Mental State Examination ratings corrected for age ( r = .77, p < ,001; see Table 1). Possibly differences in social context, expressed via this orientation, may explain observed discrepancies (9). The Instrumental Activities of Daily Living assesses, among other activities, housekeeping, food preparation, and laundry.…”

mentioning

confidence: 99%

Preliminary Report of a Validation Study of Instrumental Activities of Daily Living in a Greek Sample

Theotoka

Kapaki

Vagenas³

et al. 2007

Percept Mot Skills

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To validate the Instrumental Activities of Daily Living in Greek, 44 men (M age=70.5 yr., SD=7.2) and 58 women (M age= 68.4, SD=9.2), outpatients of memory clinics, were studied. Sex differences in the item responses were evaluated. Reliability assessed as Cronbach alpha was .84, while validity was assessed by correlation of .77 with the Mini-Mental State Examination. 21 men and 20 women had moderate to severe dementia, with Mini-Mental State Examination scores <20. The results show that this Greek language version can be effectively used in Greece.

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Cross-cultural Ranking of IADL Skills

Cited by 4 publications

References 21 publications

Spiritual Influences on Ability to Engage in Self-Care Activities among Older African Americans

Spiritual Influences on Ability to Engage in Self-Care Activities among Older African Americans

The influence of diversity on the measurement of functional impairment: An international validation of the Amsterdam IADL Questionnaire in eight countries

Preliminary Report of a Validation Study of Instrumental Activities of Daily Living in a Greek Sample

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