Measurement of Functional Activities in Older Adults in the Community
1982/05/01 by R. I. PFEFFER, R. I. Pfeffer, T. T. Kurosaki +4 · 3,019 citations
Medicine · Psychology · #Activities of daily living #Clinical psychology #Cognition #Dementia #Dementia and Cognitive Impairment Research #Developmental psychology #Gerontology #Inter-rater reliability #Medicine #Psychiatry #Psychology #Rating scale
paper · doi:10.1093/geronj/37.3.323
published in Journal of Gerontology 37(3), 323-329 (Oxford University Press)
openalex publication_date 1982/05/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/05
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 < .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 Living Scale in discriminating among functional levels and in predicting neurologist ratings and cognitive scores. Used alone as a diagnostic tool, the Functional Activities Questionnaire was more sensitive than the Instrumental Activities of Daily Living Scale (.85 vs. .57) and almost as specific (.81 Vs. .92) in distinguishing between normal and demented individuals.
Cited by
- Predicting Mild Cognitive Impairment to Alzheimer's Disease Progression by Explainable Multi‐Modal Framework Using Deep and Machine Learning Hybrid Model
- Lifetime risk and projected burden of dementia
- Dementia prevalence in the Wisconsin Longitudinal Study
- The BrainLat project, a multimodal neuroimaging dataset of neurodegeneration from underrepresented backgrounds
- Peripheral Mitochondrial Energetics are Associated with Cortical Neurophysiological Alterations in Alzheimer’s Disease
- The Relationship of Physical Function, Physical Resilience, and Physical Activity Among Recently Hospitalized Older Adults With Dementia
- Increased frequency of cluster of differentiation 14 (CD14+) monocytes expressing interleukin 1 beta (IL‐1β) in Alzheimer's disease patients and intermediate levels in late‐onset depression patients
- Phenomena of awareness in dementia: Heterogeneity and its implications
- Language Models for Longitudinal Clinical Prediction
- DunedinPACNI estimates the longitudinal Pace of Aging from a single brain image to track health and disease
- Assessing the clinical meaningfulness of slowing CDR‐SB progression with disease‐modifying therapies for Alzheimer's disease
- Depth- and curvature-based quantitative susceptibility mapping analyses of cortical iron in Alzheimer’s disease
- Contributions of chronic tobacco smoking to HIV-associated brain atrophy and cognitive deficits
- Effects of a personalised, adapted computerised cognitive stimulation programme versus stimulating leisure activities in younger and older adults with mild or subjective cognitive impairment. Protocol for a randomised controlled trial
- Cognitive and functional evolution in older adults with and without intellectual disability using a multicomponent intervention: A prospective longitudinal study
- Charles Bonnet syndrome: characteristics of its visual hallucinations and differential diagnosis
- The relationship between white matter microstructure and self-perceived cognitive decline
- Chronic Traumatic Encephalopathy in Athletes: Progressive Tauopathy After Repetitive Head Injury
- Alpha-Band Hypersynchronization in Progressive Mild Cognitive Impairment: A Magnetoencephalography Study
- Elderly-onset essential tremor is associated with dementia
- Elderly-Onset Essential Tremor and Mild Cognitive Impairment: A Population-Based Study (NEDICES)
- Statistical Disease Progression Modeling in Alzheimer Disease
- The spectrum of disease in chronic traumatic encephalopathy
- Early Detection of Alzheimer's Disease Using Explainable Machine Learning on Clinical Biomarkers: A Multi-Class Classification Study Using the Alzheimer's Disease Neuroimaging Initiative (ADNI) Dataset
- Temporal order of clinical symptoms in Alzheimer’s disease
- The Brain Metabolic Signature in Superagers Using In Vivo 1H-MRS: A Pilot Study
- Pattern of cerebral hypoperfusion in Alzheimer disease and mild cognitive impairment measured with arterial spin-labeling MR imaging: initial experience. [europepmc]
- Older adults with cognitive complaints show brain atrophy similar to that of amnestic MCI. [europepmc]
- Combining early markers strongly predicts conversion from mild cognitive impairment to Alzheimer's disease. [europepmc]
- The Alzheimer's Disease Centers' Uniform Data Set (UDS): the neuropsychologic test battery. [europepmc]
- Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. [europepmc]
- Associations between cognitive, functional, and FDG-PET measures of decline in AD and MCI. [europepmc]
- Dementia incidence continues to increase with age in the oldest old: the 90+ study. [europepmc]
- Executive function and instrumental activities of daily living in mild cognitive impairment and Alzheimer's disease. [europepmc]
- Primary outcomes for resuscitation science studies: a consensus statement from the American Heart Association. [europepmc]
- Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study. [europepmc]
- Neuropsychological criteria for mild cognitive impairment improves diagnostic precision, biomarker associations, and progression rates. [europepmc]
- The design and rationale of a multicenter clinical trial comparing two strategies for control of systolic blood pressure: the Systolic Blood Pressure Intervention Trial (SPRINT). [europepmc]
- Mild cognitive impairment and mild dementia: a clinical perspective. [europepmc]
- The diagnosis and management of mild cognitive impairment: a clinical review. [europepmc]
- Mild cognitive impairment and deficits in instrumental activities of daily living: a systematic review. [europepmc]
- Effect of a 24-Month Physical Activity Intervention vs Health Education on Cognitive Outcomes in Sedentary Older Adults: The LIFE Randomized Trial. [europepmc]
- Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. [europepmc]
- Association Between Olfactory Dysfunction and Amnestic Mild Cognitive Impairment and Alzheimer Disease Dementia. [europepmc]
- Sex differences in the association between AD biomarkers and cognitive decline. [europepmc]
- Mild Cognitive Impairment and Dementia Prevalence: The Atherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS). [europepmc]
- Subjective cognitive decline and risk of MCI: The Mayo Clinic Study of Aging. [europepmc]
- Effect of Intensive vs Standard Blood Pressure Control on Probable Dementia: A Randomized Clinical Trial. [europepmc]
- Diagnostic value of plasma phosphorylated tau181 in Alzheimer's disease and frontotemporal lobar degeneration. [europepmc]
- National Institute of Neurological Disorders and Stroke Consensus Diagnostic Criteria for Traumatic Encephalopathy Syndrome. [europepmc]
- Aducanumab: Appropriate Use Recommendations. [europepmc]
Related