PMID- 22797087
OWN - NLM
STAT- MEDLINE
DCOM- 20130107
LR  - 20220311
IS  - 1421-9824 (Electronic)
IS  - 1420-8008 (Print)
IS  - 1420-8008 (Linking)
VI  - 33
IP  - 6
DP  - 2012
TI  - The technology - activities of daily living questionnaire: a version with a 
      technology-related subscale.
PG  - 361-71
LID - 10.1159/000338606 [doi]
AB  - BACKGROUND: Information and communication technology (ICT) has become an 
      increasingly important part of daily life. The ability to use technology is 
      becoming essential for autonomous functioning in society. Current functional 
      scales for patients with cognitive impairment do not evaluate the use of 
      technology. The objective of this study was to develop and validate a new version 
      of the Activities of Daily Living Questionnaire (ADLQ) that incorporates an ICT 
      subscale. METHOD: A new technology-based subscale was incorporated into the 
      Spanish version of the ADLQ (SV-ADLQ), entitled the Technology version of the 
      ADLQ (T-ADLQ). The T-ADLQ was administered to 63 caregivers of dementia patients, 
      21 proxies of mild cognitive impairment patients and 44 proxies of normal elderly 
      subjects (mean age of the sample +/- SD: 73.5 +/- 8.30 years). We analysed the 
      convergent validity, internal consistency, reliability cut-off point, sensitivity 
      and specificity of the T-ADLQ. The results of the T-ADLQ were compared to the 
      SV-ADLQ. RESULTS: The T-ADLQ showed significant correlations with the Mini-Mental 
      State Examination (MMSE), the Frontal Assessment Battery (FAB) as well as other 
      measures of functional impairment and dementia severity (MMSE: r = -0.70; FAB: r 
      = -0.65; Functional Assessment Questionnaire: r = 0.77; Instrumental Activities 
      of Daily Living Scale: r = -0.75; Clinical Dementia Rating Scale: r = 0.72; p < 
      0.001). The T-ADLQ showed a good reliability with a relatively high Cronbach's 
      alpha-coefficient (Cronbach's alpha = 0.861). When considering a functional impairment 
      cut-off point greater than 29.25%, the sensitivity and specificity of the T-ADLQ 
      were 82 and 90%, respectively. The area under the receiver-operating 
      characteristic curve was 0.937 for the T-ADLQ and 0.932 for the original version 
      of the test. CONCLUSIONS: The T-ADLQ revealed adequate indicators of validity and 
      reliability for the functional assessment of activities of daily living in 
      dementia patients. However, the inclusion of technology items in the T-ADLQ did 
      not improve the performance of the scale, which may reflect the lack of 
      widespread use of technology by elderly individuals. Thus, although it appeared 
      reasonable to add technology use questions to the ADLQ, our experience suggested 
      that this has to be done cautiously, since the sensitivity of these additional 
      items could vary in different populations. The T-ADLQ needs to be validated in a 
      different population of dementia subjects.
CI  - Copyright (c) 2012 S. Karger AG, Basel.
FAU - Munoz-Neira, Carlos
AU  - Munoz-Neira C
AD  - Department of Neurology, University of Pittsburgh School of Medicine, PA, USA.
FAU - Lopez, Oscar L
AU  - Lopez OL
FAU - Riveros, Rodrigo
AU  - Riveros R
FAU - Nunez-Huasaf, Javier
AU  - Nunez-Huasaf J
FAU - Flores, Patricia
AU  - Flores P
FAU - Slachevsky, Andrea
AU  - Slachevsky A
LA  - eng
GR  - P50 AG005133/AG/NIA NIH HHS/United States
GR  - AG05133/AG/NIA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20120711
PL  - Switzerland
TA  - Dement Geriatr Cogn Disord
JT  - Dementia and geriatric cognitive disorders
JID - 9705200
SB  - IM
MH  - *Activities of Daily Living
MH  - Aged
MH  - Aged, 80 and over
MH  - Caregivers
MH  - Case-Control Studies
MH  - Cognitive Dysfunction/*diagnosis
MH  - *Communication
MH  - Dementia/*diagnosis
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Psychometrics/instrumentation
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - *Technology
PMC - PMC4722866
MID - NIHMS407857
EDAT- 2012/07/17 06:00
MHDA- 2013/01/08 06:00
PMCR- 2016/01/22
CRDT- 2012/07/17 06:00
PHST- 2012/04/02 00:00 [accepted]
PHST- 2012/07/17 06:00 [entrez]
PHST- 2012/07/17 06:00 [pubmed]
PHST- 2013/01/08 06:00 [medline]
PHST- 2016/01/22 00:00 [pmc-release]
AID - 000338606 [pii]
AID - 10.1159/000338606 [doi]
PST - ppublish
SO  - Dement Geriatr Cogn Disord. 2012;33(6):361-71. doi: 10.1159/000338606. Epub 2012 
      Jul 11.