ArticleHealth science reports2026
Cross-Cultural Adaptation and Psychometric Evaluation of the DoFEL-R for Early Detection of Alzheimer's Related Functional Decline in Croatia.
Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Cross-Cultural Adaptation and Psychometric Evaluation of the DoFEL-R for Early Detection of Alzheimer's Related Functional Decline in Croatia.Health science reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Early-stage Alzheimer's disease (AD) is often associated with subtle functional changes that may go undetected by conventional assessment tools. The Details of Functions of Everyday Life - Revised (DoFEL-R) was developed to address this gap by embedding updated theoretical understandings from memory binding into the assessment of everyday tasks. This study aimed to translate, cross-culturally adapt, and conduct a preliminary validation of the DoFEL-R for use with Croatian-speaking older adults. Methods: Following the guidelines of the International Test Commission (ITC), the adaptation process included forward and back translation, a Delphi expert panel, cognitive interviews, and pilot testing. A total of 263 community-dwelling older adults completed the Croatian DoFEL-R, with fifty-six participating in a 2-week follow-up to assess test-retest reliability. Results: Exploratory factor analysis supported a two-factor structure aligned with relational and conjunctive binding, consistent with the original theoretical framework. The scale showed strong internal consistency (Cronbach's Conclusion: These findings support the Croatian DoFEL-R as a valid and reliable tool for identifying early functional decline indicative of AD-related dementia in older adults. Its use may enhance early detection of preclinical AD and inform clinical assessment practices in Croatia and similar cultural contexts. However, the sample's relatively high educational and digital literacy levels may limit generalisability, and further research is needed to confirm applicability across more diverse populations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.