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May 1, 1982Journal of Gerontology3,036 citations

Measurement of Functional Activities in Older Adults in the Community

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RPR. I. PFEFFERTKTakashi KurosakiCHC. H. Harrah

Key Points

  • To evaluate the reliability and diagnostic validity of measures of social and functional capacity for distinguishing normal aging from mild senile dementia in community-dwelling older adults.
  • Assessed 195 older adults with comprehensive neurological, cognitive, and affective examinations.
  • Evaluated interrater reliability for the Scale of Functional Capacity using independent ratings from an examining neurologist, a reviewing neurologist, and a trained nurse.
  • Administered informant-based assessments comparing the Functional Activities Questionnaire (FAQ) with the Instrumental Activities of Daily Living (IADL) Scale.
  • The Scale of Functional Capacity achieved high interrater reliability between the examining and reviewing neurologists (r = .97, p < .001) and between the examining neurologist and nurse (tau b = .802, p < .001).
  • The Functional Activities Questionnaire demonstrated superior diagnostic sensitivity compared to the Instrumental Activities of Daily Living Scale for differentiating normal older adults from those with dementia.

Abstract

Two measures of social function designed for community studies of normal aging and mild senile dementia were evaluated in 195 older adults who underwent neurological, cognitive, and affective assessment. An examining and a reviewing neurologist and a neurologically trained nurse independently rated each on a Scale of Functional Capacity. Interrater reliability was high (examining vs. reviewing neurologist, r = .97; examining neurologist vs. nurse, tau b = .802; p less than .001 for both comparisons). Estimates correlated well with an established measure of social function and with results of cognitive tests. Alternate informants evaluated participants on the Functional Activities Questionnaire and the Instrumental Activities of Daily Living Scale. The Functional Activities Questionnaire was superior to the Instrumental Activities of Daily scores. Used alone as a diagnostic tool, the Functional Activities Questionnaire was more sensitive than distinguishing between normal and demented individuals.

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Cite This Study

PFEFFER et al. (1982) studied this question.

synapsesocial.com/papers/69dc0afd2f8392c28b2a657bhttps://doi.org/10.1093/geronj/37.3.323
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