Evidence map›Paper›PMID 39853749›Full record

SynthesisAustralian occupational therapy journal2025

A systematic review of psychometric properties of questionnaires assessing activities of daily living among older adults with neurocognitive disorders.

Alia Osman, Dennis Radman, Patricia Belchior, Isabelle Gélinas

Erratum issuedAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Australian occupational therapy journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Alia OsmanSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-4253-1075
Dennis RadmanSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Patricia BelchiorSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Isabelle GélinasSchool of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMild cognitive impairment (MCI) and Alzheimer's disease (AD) lead to decline in performance in activities of daily living (ADLs). Multiple questionnaires assess this construct among older adults. The objective of this study was to review existing literature studying psychometric properties of questionnaires assessing performance in ADLs of older adults living with MCI and AD specifically.

methodsA systematic review was conducted across Medline, CINAHL and PsychINFO using a combination of keywords related to ADLs, psychometrics, MCI and AD. Studies were included if they met the following criteria: assessments of performance of ADLs for older adults living with AD or MCI, reporting a minimum of one measurement property (e.g. internal consistency), primary research articles, published before June 2023 in English or French. Data extraction and analysis were conducted by two researchers. The methodological quality of psychometric properties was assessed using the COSMIN checklist. CONSUMER AND COMMUNITY INVOLVEMENT: No consumer or community involvement occurred.

resultsA total of 2539 articles were screened and filtered down to 50 articles including 24 questionnaires respecting inclusion criteria. Of these questionnaires, the three most validated were the Amsterdam Instrumental activities of daily living, the disability assessment for dementia (DAD), and the Bayer ADL scale. Overall, for these three questionnaires, internal consistency, reliability and structural validity were the most studied psychometric properties while criterion validity and hypothesis testing were the least.

conclusionThis study reveals the Amsterdam IADLs as the most validated questionnaire across psychometric properties and the DAD as the most validated across languages. Considering the increasing prevalence of older adults with MCI or AD, questionnaires established on strong measurement properties are valuable tools to evaluate decline in ADL performance and plan suitable interventions. This review provides evidence for clinicians and researchers for the selection of questionnaires to evaluate this population. PLAIN LANGUAGE SUMMARY: Cognitive impairment affects memory and thinking. It makes tasks like dressing, bathing and eating harder. Health-care workers use questionnaires to find out where someone struggles. This helps them plan better care. We reviewed questionnaires for older adults with memory and thinking problems. We found good ones that give important information. Using these questionnaires helps health-care workers support people with daily tasks. This study suggests testing the questionnaires more to improve them.

Indexed as

Activities of Daily LivingAlzheimer DiseaseCognitive DysfunctionOccupational TherapyAgedAged, 80 and overDisability EvaluationHumansPsychometricsReproducibility of ResultsSurveys and Questionnairesactivities of daily livingAlzheimer's diseaseassessmentfunctionmild cognitive disorderspsychometricsreviewvalidation study

Identifiers

PMID39853749
PMCPMC11758263

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.