Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-22T18:48:36.810Z Has data issue: false hasContentIssue false

Psychometric evaluation of the Chinese version of the Activities of Daily Living Questionnaire (ADLQ-CV)

Published online by Cambridge University Press:  29 July 2008

Thomas K. C. Chu*
Affiliation:
Tung Wah Hospital, Hong Kong Hospital Authority, Hong Kong
Jenny C. C. Chung
Affiliation:
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
*
Correspondence should be addressed to: Thomas K.C. Chu, Occupational Therapy Department, Tung Wah Hospital, 12 Po Yan Street, Sheung Wan, Hong Kong. Phone: +852 25898272; Fax: +852 25898574. Email: [email protected].
Get access

Abstract

Background: This study examines the psychometric properties of the Chinese version of the Activities of Daily Living Questionnaire (ADLQ-CV) in a sample of older Hong Kong Chinese adults with dementia.

Method: The ADLQ-CV was administered to primary family caregivers of 125 community-dwelling individuals with dementia. Assessments were then made of the scale's reliability, validity and factor structure.

Results: Factor analysis yielded six factors that closely resembled the six subscales proposed in the original scale. The ADLQ-CV demonstrated excellent convergent validity with the Chinese version of the Disability Assessment for Dementia (rp = −0.92, p < 0.001). The internal consistency of the ADLQ-CV was good (Cronbach's α = 0.81). Excellent test-retest reliability (ICC = 0.998) and inter-rater reliability (ICC = 0.997) of the ADLQ-CV were obtained. The ADLQ-CV showed a significant negative association with global mental states (rp = −0.80, p < 0.001), but it did not correlate with the age or educational level of individuals with dementia.

Conclusion: The findings suggest that the ADLQ-CV is a valid and reliable instrument for evaluating the functional abilities of Hong Kong Chinese people with dementia. The brevity and simplicity of administration make ita potentially useful tool for routine assessment of functional status of people with dementia in community or hospital outpatient settings.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), 4th edn. Washington, DC: American Psychiatric Association.Google Scholar
Artero, S., Touchon, J. and Ritchie, K. (2001). Disability and mild cognitive impairment: a longitudinal population-based study. International Journal of Geriatric Psychiatry, 16, 10921097.CrossRefGoogle ScholarPubMed
Baum, C., Edwards, D., Yonan, C. and Storandt, M. (1996). The relation of neuropsychological test performance to performance of functional tasks in dementia of the Alzheimer type. Archives of Clinical Neuropsychology, 11, 6975.CrossRefGoogle Scholar
Carswell, A. and Eastwood, R. (1993). Activities of daily living, cognitive impairment and social function in community residents with Alzheimer disease. Canadian Journal of Occupational Therapy, 60, 130136.CrossRefGoogle Scholar
Chiu, H. F., Lee, H. C., Chung, W. S. and Kwong, P. K. (1994). Reliability and validity of the Cantonese version of Mini-mental State Examination – a preliminary study. Journal of the Hong Kong College of Psychiatrists, 4, 2528.Google Scholar
Farias, S. T., Mungas, D. and Jagust, W. (2005). Degree of discrepancy between self and other-reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders. International Journal of Geriatric Psychiatry, 20, 827834.CrossRefGoogle ScholarPubMed
Ferri, C. P. et al. (2005). Global prevalence of dementia: a Delphi consensus study. Lancet, 366, 21122117.CrossRefGoogle ScholarPubMed
Galasko, D., Edland, S. D., Morris, J. C., Clark, C., Mohs, R. and Koss, E. (1995). The Consortium to Establish a Registry for Alzheimer's Disease (CERAD), Part XI. Clinical milestones in patients with Alzheimer's disease followed over 3 years. Neurology, 45, 14511455.CrossRefGoogle Scholar
Gauthier, S., Gelinas, I. and Gauthier, L. (1997). Functional disability in Alzheimer's disease. International Pyschogeriatrics, 9 (Suppl. 1), 163165.CrossRefGoogle ScholarPubMed
Gelinas, I., Gauthier, L., McIntyre, M., and Gauthier, S. (1999). Development of a functional measure for persons with Alzheimer's disease: the disability assessment for dementia. American Journal of Occupational Therapy, 53, 471481.CrossRefGoogle ScholarPubMed
Johnson, N., Barion, A., Rademaker, A., Rehkemper, G. and Weintraub, S. (2004). The Activities of Daily Living Questionnaire: a validation study in patients with dementia. Alzheimer Disease and Associated Disorders, 18, 223230.Google ScholarPubMed
Law, M. (1993). Evaluating activities of daily living: directions for the future. American Journal of Occupational Therapy, 47, 233237.CrossRefGoogle ScholarPubMed
Lawton, M. P. and Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179186.CrossRefGoogle ScholarPubMed
Loewenstein, D. A. et al. (2001). Caregivers’ judgments of the functional abilities of the Alzheimer's disease patient: a comparison of proxy reports and objective measures. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, 7884.CrossRefGoogle Scholar
Mahoney, F. I. and Barthel, D. W. (1965). Functional evaluation: the Barthel Index. Maryland State Medical Journal, 14, 6165.Google ScholarPubMed
Marshall, G. A., Fairbanks, L. A., Tekin, S., Vinters, H. V. and Cummings, J. L. (2006). Neuropathologic correlates of activities of daily living in Alzheimer disease. Alzheimer Disease and Associated Disorders, 20, 5659.CrossRefGoogle ScholarPubMed
Mok, C. C., Siu, A. M., Chan, W. C., Yeung, K. M., Pan, P. C. and Li, S. W. (2005). Functional disabilities profile of Chinese elderly people with Alzheimer's disease: a validation study on the Chinese version of the disability assessment for dementia. Dementia and Geriatric Cognitive Disorders, 20, 112119.CrossRefGoogle ScholarPubMed
Nunnally, J. C. and Bernstein, I. H. (1994). Psychometric Theory. 3rd ed. New York: McGraw-Hill.Google Scholar
Ostbye, T., Tyas, S., McDowell, I. and Koval, J. (1997). Reported activities of daily living: agreement between elderly subjects with and without dementia and their caregivers. Age and Ageing, 26, 99106.CrossRefGoogle ScholarPubMed
Perneczky, R. et al. (2006). Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome. International Journal of Geriatric Psychiatry, 21, 158162.CrossRefGoogle ScholarPubMed
Perry, R. J. and Hodges, J. R. (2000). Relationship between functional and neuropsychological performance in early Alzheimer disease. Alzheimer Disease and Associated Disorders, 14, 110.CrossRefGoogle ScholarPubMed
Senanarong, V. et al. (2003). A new measurement of activities of daily living for Thai elderly with dementia. International Psychogeriatrics, 15, 135148.CrossRefGoogle ScholarPubMed
Tam, C. W., Lam, L. C., Chiu, H. F. and Lui, V. W. (2007). Characteristic profiles of instrumental activities of daily living in Chinese older persons with mild cognitive impairment. American Journal of Alzheimer's Disease and Other Dementias, 22, 211217.Google ScholarPubMed
Tekin, S., Fairbanks, L. A., O'Connor, S., Rosenberg, S. and Cummings, J. L. (2001). Activities of daily living in Alzheimer's disease: neuropsychiatric, cognitive, and medical illness influences. American Journal of Geriatric Psychiatry, 9, 8186.CrossRefGoogle ScholarPubMed
Weinberger, M., Samsa, G.P., Schmader, K., Greenberg, S. M., Carr, D. B. and Wildman, D. S. (1992). Comparing proxy and patients’ perceptions of patients’ functional status: results from an outpatient geriatric clinic. Journal of the American Geriatrics Society, 40, 585588.CrossRefGoogle ScholarPubMed
Wicklund, A. H., Johnson, N., Rademaker, A., Weitner, B. B. and Weintraub, S. (2007). Profiles of decline in activities of daily living in non-Alzheimer dementia. Alzheimer Disease and Associated Disorders, 21, 813.CrossRefGoogle ScholarPubMed
Zanetti, O., Geroldi, C., Frisoni, G. B., Bianchetti, A. and Trabucchi, M. (1999). Contrasting results between caregiver's report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: the contribution of the caregiver's personal characteristics. Journal of the American Geriatrics Society, 47, 196202.CrossRefGoogle ScholarPubMed