Skip to main content
Top
Published in: BMC Geriatrics 1/2009

Open Access 01-12-2009 | Research article

Validity and reliability of the Arabic version of Activities of Daily Living (ADL)

Authors: Ramzi Nasser, Jacqueline Doumit

Published in: BMC Geriatrics | Issue 1/2009

Login to get access

Abstract

Background

The Activity of Daily Living (ADL) is an instrument that screens elderly respondents for physical functioning and assesses whether they are dependent or independent in their daily activities. This study demonstrates a translation procedure and obtains the reliability and validity of a translated, Arabic ADL.

Methods

The ADL was translated to Arabic through a forward translation method followed by a committee-consensual approach. The ADL and the Arabic Mini-Mental State Examination (AMMSE) were administered to an opportunistic sample of 354 Lebanese elderly living in nursing homes who did not have dementia.

Results

Reliability split half measures, sensitivity, and negative predictive values were high across all dimensions of the ADL with the exception of feeding. There were non-significant differences on the scored ADL between the three age groups: young age, middle age and older old. In addition, a non-significant difference was found on the scored ADL between the high and low AMMSE scores.

Conclusion

Overall, the translated ADL was consistent and valid measure for assessing daily activities in elderly nursing home residents. As it is quick and easy to use, the ADL in Arabic could help caregivers and doctors to prescribe appropriate physical exercise for elderly Arabic speaking patients.
Appendix
Available only for authorised users
Literature
2.
go back to reference World Health Organization: The world health report: Life in the 21st century a vision for all. 1988, Geneva: World Health Organization World Health Organization: The world health report: Life in the 21st century a vision for all. 1988, Geneva: World Health Organization
3.
go back to reference Plouffe L: WHO Global Age-Friendly Cities Project. Workshop Ageing in Lebanon: Research and Policies. Lebanese HealthCare Management Association, Lebanon 2007 (September 3 and 4) Plouffe L: WHO Global Age-Friendly Cities Project. Workshop Ageing in Lebanon: Research and Policies. Lebanese HealthCare Management Association, Lebanon 2007 (September 3 and 4)
4.
go back to reference Paffenbarger R, Hyde A, Wing A, Hsieh C: Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine. 1986, 314: 605-613.CrossRefPubMed Paffenbarger R, Hyde A, Wing A, Hsieh C: Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine. 1986, 314: 605-613.CrossRefPubMed
5.
go back to reference Manton K: Epidemiological, demographic, and social correlates of disability among the elderly. The Milbank Quarterly. 1989, 67 (2(Part 1)): 13-58. 10.2307/3350235.CrossRefPubMed Manton K: Epidemiological, demographic, and social correlates of disability among the elderly. The Milbank Quarterly. 1989, 67 (2(Part 1)): 13-58. 10.2307/3350235.CrossRefPubMed
6.
go back to reference Tennstedt S, Lisa S, Sullivan J, McKinlay J, D'Agostino R: How important is functional status as a predictor of service use by older people. Journal of Aging and Health. 1990, 2 (4): 439-461. 10.1177/089826439000200402.CrossRefPubMed Tennstedt S, Lisa S, Sullivan J, McKinlay J, D'Agostino R: How important is functional status as a predictor of service use by older people. Journal of Aging and Health. 1990, 2 (4): 439-461. 10.1177/089826439000200402.CrossRefPubMed
7.
go back to reference Doumit J, Nasser R: Elderly Residents in Lebanese Nursing Homes: Quality of Life and Wellbeing. International Journal of Health Care Quality Assurance, (forthcoming). Doumit J, Nasser R: Elderly Residents in Lebanese Nursing Homes: Quality of Life and Wellbeing. International Journal of Health Care Quality Assurance, (forthcoming).
8.
go back to reference Bucks R, Ashworth D, Wilcock G, Siegfried K: Assessment of activities of daily living in dementia: A Daily Living Scale. Development of the Bristol Activities. Age and Ageing. 1996, 25: 113-120. 10.1093/ageing/25.2.113.CrossRefPubMed Bucks R, Ashworth D, Wilcock G, Siegfried K: Assessment of activities of daily living in dementia: A Daily Living Scale. Development of the Bristol Activities. Age and Ageing. 1996, 25: 113-120. 10.1093/ageing/25.2.113.CrossRefPubMed
9.
go back to reference Katz S, Ford A, Moskowitz R: The index of ADL: A standardized measure of biological and psychosocial function. JAMA. 1963, 185: 914-919.CrossRefPubMed Katz S, Ford A, Moskowitz R: The index of ADL: A standardized measure of biological and psychosocial function. JAMA. 1963, 185: 914-919.CrossRefPubMed
10.
go back to reference Mahoney F, Barthel D: Functional evaluation. The Barthel index. State Medical Journal. 1955, 14: 61-65. Mahoney F, Barthel D: Functional evaluation. The Barthel index. State Medical Journal. 1955, 14: 61-65.
11.
go back to reference Schoening H, Anderegg L, Bergstrom D: Numerical scoring of self care status of patients. Arch Phys Med Rehabil. 1965, 46: 689-697.PubMed Schoening H, Anderegg L, Bergstrom D: Numerical scoring of self care status of patients. Arch Phys Med Rehabil. 1965, 46: 689-697.PubMed
12.
go back to reference Jette A: Functional capacity evaluation: an empirical approach. Arch Phys Med Rehabil. 1980, 61: 85-89.PubMed Jette A: Functional capacity evaluation: an empirical approach. Arch Phys Med Rehabil. 1980, 61: 85-89.PubMed
13.
go back to reference Pfeffer RI, Kurosaki TT, Chance JM, Filos S, Bates D: Use of the mental function index in older adults. Reliability, validity, and measurement of change over time. Am J Epidemiol. 1984, 120 (6): 922-35.CrossRefPubMed Pfeffer RI, Kurosaki TT, Chance JM, Filos S, Bates D: Use of the mental function index in older adults. Reliability, validity, and measurement of change over time. Am J Epidemiol. 1984, 120 (6): 922-35.CrossRefPubMed
14.
go back to reference Kerlinger F: Foundations of Behavioral Research. 1986, New York: Holt, Rinehart and Winston Kerlinger F: Foundations of Behavioral Research. 1986, New York: Holt, Rinehart and Winston
15.
go back to reference Lanza M, Carifio J: Use of a Panel of Experts to Establish Validity for patient, Assault Vignettes. Evaluation Review. 1992, 16 (1): 82-92. 10.1177/0193841X9201600106.CrossRef Lanza M, Carifio J: Use of a Panel of Experts to Establish Validity for patient, Assault Vignettes. Evaluation Review. 1992, 16 (1): 82-92. 10.1177/0193841X9201600106.CrossRef
16.
go back to reference Johnson N, Barion A, Rademaker A, Rehkemper G, Weintraub S: The Activities of Daily Living Questionnaire A Validation Study in Patients with Dementia. Alzheimer Dis Assoc Disord. 2004, 18 (4): 223-230.PubMed Johnson N, Barion A, Rademaker A, Rehkemper G, Weintraub S: The Activities of Daily Living Questionnaire A Validation Study in Patients with Dementia. Alzheimer Dis Assoc Disord. 2004, 18 (4): 223-230.PubMed
17.
go back to reference Walker H, Hall W, Hurst J: Clinical methods: The history, physical and laboratory examination. 1990, Edition, Boston, MA: Butterworth Publishers, 3 Walker H, Hall W, Hurst J: Clinical methods: The history, physical and laboratory examination. 1990, Edition, Boston, MA: Butterworth Publishers, 3
18.
go back to reference Folstein M, Folstein S, McHugh P: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research. 1975, 12: 189-198. 10.1016/0022-3956(75)90026-6.CrossRefPubMed Folstein M, Folstein S, McHugh P: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research. 1975, 12: 189-198. 10.1016/0022-3956(75)90026-6.CrossRefPubMed
19.
go back to reference Folstein M, Folstein S, Fanjiang G: MMSE Mini-Mental State Examination: Clinical guide. 2001, Lutz, Florida: Psychological Assessment Resources Folstein M, Folstein S, Fanjiang G: MMSE Mini-Mental State Examination: Clinical guide. 2001, Lutz, Florida: Psychological Assessment Resources
20.
go back to reference Tombaugh T, McIntyre N: The Mini Mental State Examination: a comprehensive review. Journal of the American Geriatric Society. 1992, 40: 922-935.CrossRef Tombaugh T, McIntyre N: The Mini Mental State Examination: a comprehensive review. Journal of the American Geriatric Society. 1992, 40: 922-935.CrossRef
21.
go back to reference Vierck E, Hodges K: Aging: Demographics, Health, and health services. 2003, Westport, CT: Greenwood Press Vierck E, Hodges K: Aging: Demographics, Health, and health services. 2003, Westport, CT: Greenwood Press
22.
go back to reference Gill T, Robison T, Tinetti M: Predictors of recovery in activities of daily living among disabled older persons living in the community. J Gen Intern Med. 1997, 12: 757-762. 10.1046/j.1525-1497.1997.07161.x.CrossRefPubMedPubMedCentral Gill T, Robison T, Tinetti M: Predictors of recovery in activities of daily living among disabled older persons living in the community. J Gen Intern Med. 1997, 12: 757-762. 10.1046/j.1525-1497.1997.07161.x.CrossRefPubMedPubMedCentral
23.
go back to reference Woods R: Activities of daily living in dementia. Diagnostic and therapeutic assessments in Alzheimer's disease. Edited by: Gottfries CG, Levy R, Clincke G, Tritsmans L. 1991, London: Wrightson Biomedical, 71-80. Woods R: Activities of daily living in dementia. Diagnostic and therapeutic assessments in Alzheimer's disease. Edited by: Gottfries CG, Levy R, Clincke G, Tritsmans L. 1991, London: Wrightson Biomedical, 71-80.
24.
go back to reference Rockwood K, Standnyk K: The prevalence of dementia in the elderly. A Review of Canadian Journal of Psychiatry. 1994, 39: 253-257.PubMed Rockwood K, Standnyk K: The prevalence of dementia in the elderly. A Review of Canadian Journal of Psychiatry. 1994, 39: 253-257.PubMed
25.
go back to reference Ritchie K, Kildea D: Is senile dementia 'age-related' or 'ageing-related'?: Evidence from meta-analysis of dementia prevalence in the oldest old. Lancet. 1995, 346: 931-934. 10.1016/S0140-6736(95)91556-7.CrossRefPubMed Ritchie K, Kildea D: Is senile dementia 'age-related' or 'ageing-related'?: Evidence from meta-analysis of dementia prevalence in the oldest old. Lancet. 1995, 346: 931-934. 10.1016/S0140-6736(95)91556-7.CrossRefPubMed
26.
go back to reference Covinsky K, Hilton J, Lindquist K, Dudley R: Development and validation of an index to predict Activity of Daily Living Dependence in community-dwelling elders. Medical Care. 2006, 44 (2): 149-157. 10.1097/01.mlr.0000196955.99704.64.CrossRefPubMed Covinsky K, Hilton J, Lindquist K, Dudley R: Development and validation of an index to predict Activity of Daily Living Dependence in community-dwelling elders. Medical Care. 2006, 44 (2): 149-157. 10.1097/01.mlr.0000196955.99704.64.CrossRefPubMed
27.
go back to reference Emery CF, Blumenthal JA: Perceived change among participants in an exercise program for older adults. Gerontologist. 1990, 30 (4): 516-21.CrossRefPubMed Emery CF, Blumenthal JA: Perceived change among participants in an exercise program for older adults. Gerontologist. 1990, 30 (4): 516-21.CrossRefPubMed
28.
go back to reference Simonsick EM, Lafferty ME, Phillips CL, Mendes de Leon CF, Kasl SV, Seeman TE, Fillenbaum G, Hebert P, Lemke JH: Risk due to inactivity in physically capable older adults. Am J Public Health. 1993, 83: 1443-1450. 10.2105/AJPH.83.10.1443.CrossRefPubMedPubMedCentral Simonsick EM, Lafferty ME, Phillips CL, Mendes de Leon CF, Kasl SV, Seeman TE, Fillenbaum G, Hebert P, Lemke JH: Risk due to inactivity in physically capable older adults. Am J Public Health. 1993, 83: 1443-1450. 10.2105/AJPH.83.10.1443.CrossRefPubMedPubMedCentral
Metadata
Title
Validity and reliability of the Arabic version of Activities of Daily Living (ADL)
Authors
Ramzi Nasser
Jacqueline Doumit
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2009
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/1471-2318-9-11

Other articles of this Issue 1/2009

BMC Geriatrics 1/2009 Go to the issue