Development, validity, and reliability of the General Activities of Daily Living Scale: a multidimensional measure of activities of daily living for older people

Paula, Jonas Jardim de; Bertola, Laiss; Ávila, Rafaela; Assis, Luciana de Oliveira; Albuquerque, Maicon Rodrigues; Bicalho, Maria Aparecida Camargos; Moraes, Edgar Nunes de; Nicolato, Rodrigo; Malloy-Diniz, Leandro Fernandes

doi:10.1590/1516-4446-2012-1003

Cited by 35 publications

(35 citation statements)

References 37 publications

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“…The present study is part of the first author's doctoral dissertation, the results of which have been published elsewhere. 3,11,12 Functional status was reported by each participant's caregivers during an interview conducted as part of the neuropsychological assessment, using the General Activities of Daily Living Scale (GADL). 12 This measure involves sub-scores of basic ADLs (self-care) and instrumental ADLs (domestic and complex).…”

Section: Methodsmentioning

confidence: 99%

Impairment of fine motor dexterity in mild cognitive impairment and Alzheimer’s disease dementia: association with activities of daily living

Paula

Albuquerque

Lage

et al. 2016

Rev. Bras. Psiquiatr.

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Objective: Cognitive impairment is a hallmark of mild cognitive impairment (MCI) and Alzheimer's disease dementia (AD). Although the cognitive profile of these patients and its association with activities of daily living (ADLs) is well documented, few studies have assessed deficits in fine motor dexterity and their association with ADL performance. The objective of this research paper is to evaluate fine motor dexterity performance among MCI and AD patients and to investigate its association with different aspects of ADLs. Methods: We assessed normal aging controls, patients with multiple-and single-domain amnestic MCI (aMCI), and patients with mild AD. Fine motor dexterity was measured with the Nine-Hole Peg Test and cognitive functioning by the Mattis Dementia Rating Scale. We analyzed the data using general linear models. Results: Patients with AD or multiple-domain aMCI had slower motor responses when compared to controls. AD patients were slower than those with single-domain aMCI. We found associations between cognition and instrumental ADLs, and between fine motor dexterity and self-care ADLs. Conclusion: We observed progressive slowing of fine motor dexterity along the normal aging-MCI-AD spectrum, which was associated with autonomy in self-care ADLs.

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Section: Methodsmentioning

confidence: 99%

Impairment of fine motor dexterity in mild cognitive impairment and Alzheimer’s disease dementia: association with activities of daily living

Paula

Albuquerque

Lage

et al. 2016

Rev. Bras. Psiquiatr.

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“…General cognitive status (Mini Mental State Exam), executive functions (Frontal Assessment Battery, Letter Fluency of S and Digit Span), visioconstructional ability (Stick Design Test and Clock Drawing Test), episodic memory (Rey Auditory Verbal Learning Test), semantic memory [Naming Test (TN-LINC) and Category Verbal Fluency (Fruits)], and language (Token Test). The caregivers answered the General Activities of Daily Living Scale (GADL) that evaluates performance on activities of daily living (de Paula et al, 2014). …”

Section: Methodsmentioning

confidence: 99%

Impaired generation of new subcategories and switching in a semantic verbal fluency test in older adults with mild cognitive impairment

Bertola

Lima

Romano-Silva

et al. 2014

Front. Aging Neurosci.

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The semantic verbal fluency task is broadly used in the neuropsychological assessment of elderly subjects. Even some studies have identified differences in verbal fluency clustering and switching measures between subjects with normal aging and a clinical condition such as mild cognitive impairment (MCI) and Alzheimer's disease, the results are not always consistent. This study aimed to compare clustering and switching measures of an animal's semantic verbal fluency task among normal controls (NC, n = 25), amnestic mild cognitive impairment (aMCI; n = 25), amnestic multiple domain Mild Cognitive Impairment (a+mdMCI; n = 25) and Alzheimer's disease (AD; n = 25) Brazilian subjects. The analyses were executed considering three (unifying the MCI subtypes) and four groups. As the data were not normally distributed, we carried out non-parametric tests (Kruskal-Wallis and Mann-Whitney tests) to evaluate the differences in performance in the measures of the verbal fluency test among the groups. The comparison demonstrated that the groups differed in the total of correct words produced, number of clusters and switching but the measure of new subcategories was the only with significant difference among the NC and all the clinical groups. The measure of new subcategories is the number of original subcategories inside the higher category of animals that the subject produced, such as farm, domestic, African animals. Our results indicate that semantic memory impairment is a visible and recent deficit that occurs even in non-demented subjects with very MCI and the implications of these findings are discussed.

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“…The scoring was the same, with the total score ranging from 0 to 30 points (worst performance). Caregivers also answered the General Activities of Daily Living (GADL) Scale, which is divided into self-care activities, domestic activities and complex activities, as described elsewhere (de Paula et al, 2014). …”

Section: Methodsmentioning

confidence: 99%

Psychometric properties of the Brazilian version of Pfeffer's Functional Activities Questionnaire

Assis

Paula

Assis

et al. 2014

Front. Aging Neurosci.

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Pfeffer's Functional Activities Questionnaire (FAQ) is one of the most commonly employed tools in studies on pathological cognitive aging. Despite the different versions of the questionnaire translated for use in clinical practice, few studies have analyzed the psychometric properties of the Brazilian version of the FAQ (P-FAQ). Thus, the aim of the present study was to analyze the P-FAQ with regard to internal consistency, factorial structure and associations with demographic factors (age, sex, and schooling), depressive symptoms, cognitive measures and other measures of functionality. One hundred sixty-one older adults were divided into four groups (91 with dementia, 46 with mild cognitive impairment, 11 with psychiatric disorders and 13 healthy controls). All participants were evaluated by cognitive, behavioral and functional tests and scales. Their caregivers answered the P-FAQ. The questionnaire showed high internal consistency (α = 0.91). Factor analysis revealed a two-factor structure, which, accounted for 66% of the total variance. The P-FAQ was not correlated with demographic factors, was weakly correlated with depressive symptoms ( = 0.271, p < 0.01, R 2 = 7%) and strongly correlated with cognitive measures (Matttis Dementia Rating Scale total score: = −0.574, p < 0.01, R 2 = 33%) as well as complex instrumental activities of daily living ( = −0.845, p < 0.01, R 2 = 71%). Cognitive performance and depression status were independent predictors of P-FAQ scores in regression models. The present findings indicate that the P-FAQ has satisfactory reliability, internal consistency, construct validity and ecological validity. Therefore, this questionnaire can be used in clinical practice and research involving the Brazilian population of older adults.

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Development, validity, and reliability of the General Activities of Daily Living Scale: a multidimensional measure of activities of daily living for older people

Cited by 35 publications

References 37 publications

Impairment of fine motor dexterity in mild cognitive impairment and Alzheimer’s disease dementia: association with activities of daily living

Impairment of fine motor dexterity in mild cognitive impairment and Alzheimer’s disease dementia: association with activities of daily living

Impaired generation of new subcategories and switching in a semantic verbal fluency test in older adults with mild cognitive impairment

Psychometric properties of the Brazilian version of Pfeffer's Functional Activities Questionnaire

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