Assessment of Cognitive Instrumental Activities of Daily Living: A Systematic Review
Disability and Rehabilitation
Romero-Ayuso, D., Castillero-Perea, Á, et al. (2021).
Disability and Rehabilitation, 43(10), 1342-1358.
This systematic review evaluates the ecological validity of executive function assessments for predicting independence on instrumental activities of daily living (iADLs) in individuals with EF deficit.
No funding received
2014 - May 2019
Systematic reviews; original articles
76 studies with 110 measures
<div>Findings demonstrated clinical utility for the following assessment types to detect executive function deficits in children and adults: </div>
<ul>
<li><span style="color: #333333;">Performance-based measures, which directly assess EF performance within the context of naturalistic iADL activities, were useful for the early detection of executive dysfunction and for the detection of pre-clinical EF deficits. </span></li>
<li><span style="color: #333333;">Virtual-reality based assessments were sensitive for the detection of cognitive and EF deficits within the context of iADLs. </span></li>
</ul>
<div><span style="color: #333333;">Although most of the included studies focused on adult populations, the authors did not perform sub-group analysis to determine the impact of age on test validity. Limitations to this review include the lack of gold-standard assessment for EF within the context of iADLs and heterogeneity of EF skills assessed.</span></div>
