Validation of Taiwan Performance-Based Instrumental Activities of Daily Living (TPIADL), a Performance- Based Measurement of Instrumental Activities of Daily Living for Patients with Vascular Cognitive Impairment

Patients with cerebrovascular diseases often presented both cognitive and physical impairment. Disability in everyday functioning involving cognitive impairment among patients may be hard to completely rely on informants' reports, as their reports may be confounded with physical impairment. The...

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Bibliographic Details
Published in:PloS one 2016-11, Vol.11 (11), p.e0166546-e0166546
Main Authors: Chen, Hui-Mei, Lin, Hsiu-Fen, Huang, Mei-Feng, Chang, Chun-Wei, Yeh, Yi-Chun, Lo, Yi-Ching, Yen, Cheng-Fang, Chen, Cheng-Sheng
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adults
Aged
Alzheimer's disease
Alzheimers disease
Bias
Biology and Life Sciences
Cerebrovascular diseases
Cognition & reasoning
Cognitive ability
Cognitive Dysfunction - complications
Cognitive Dysfunction - physiopathology
Correlation analysis
Correlation coefficient
Correlation coefficients
Dementia
Dementia disorders
Dementia, Vascular - complications
Dementia, Vascular - physiopathology
Demography
Diagnosis
Diagnostic systems
Family medical history
Female
Hospitals
Humans
Impairment
Male
Measurement
Medicine
Medicine and Health Sciences
NMR
Nuclear magnetic resonance
Occupational therapy
Older people
Patients
Physically disabled persons
Psychiatry
Reproducibility of Results
ROC Curve
Schizophrenia
Skills
Social Sciences
Stroke
Taiwan
Vascular dementia
Vascular diseases
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Summary:Patients with cerebrovascular diseases often presented both cognitive and physical impairment. Disability in everyday functioning involving cognitive impairment among patients may be hard to completely rely on informants' reports, as their reports may be confounded with physical impairment. The aim of this study was to validate a performance-based measure of functional assessment, the Taiwan Performance-Based Instrumental Activities of Daily Living (TPIADL), for vascular cognitive impairment (VCI) by examining its psychometric properties and diagnostic accuracy. Ninety-seven patients with cerebrovascular diseases, including 30 with vascular dementia (VaD), 28 with mild cognitive impairment and 39 with no cognitive impairment, and 49 healthy control adults were recruited during study period. The TPIADL, as well as the Mini Mental State Examination (MMSE), Lawton-IADL and Barthel Index (BI), were performed. The internal consistency, convergent and criteria validity of the TPIADL were examined. Cronbach's alpha of the TPIADL test was 0.84. The TPIADL scores were significantly correlated with the Lawton IADL (r = -0.587, p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0166546