How Do Assessments of Activities of Daily Living Address Executive Functions: A Scoping Review
Neuropsychological Rehabilitation
Poncet, F., Swaine, B., et al. (2017).
Neuropsychological Rehabilitation, 27(5), 618-666.
This scoping review investigates how instrumental activity of daily living (IADL) assessments measure independence in IADLs and address executive function (EF) skills in adults with acquired brain injury (ABI).
Association Réseau Traumatisme Crânien Ile-de-France (France); Mission Recherche de la Direction de la Recherche, des Études, de l’Évaluation, et des Statistiques (France); Caisse Nationale de Solidarité pour l’Autonomie (France); Institut de
Recherche en Santé Publique (France)
Database inception to August 2014
Peer-reviewed studies (not further specified)
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For adults with acquired brain injury, twelve instrumental activity of daily living (IADL) assessment tools were assessed for their ability to measure executive function skills:
<ul>
<li>To assess the executive function of volition, none of the tools explicitly targeted the ability to initiate an intention. The Activities of Daily Living Profile (ADL-Profile) and the Instrumental Activities of Daily Living Profile (IADL-Profile) require goal formation by participants.</li>
<li>To assess the executive functions of planning and decision making, four of the tools (ADL-Profile, Cooking Test [CT], Multiple Errands Test [MET], and IADL-Profile) partially measured planning by having participants think of alternatives, weigh and make choices, and develop a plan of action.</li>
<li>To assess purposive action, ADL-Profile, CT, MET, IADL-Profile, and Assessment of Motor and Process Skills (AMPS) measured the ability to initiate, maintain, switch, and stop activities.</li>
<li>To assess effective performance, ten of the tools rated execution of activities: ADL-Profile, CT, MET, IADL-Profile, AMPS, Executive Function Performance Test (EFPT), Executive Function Route Finding Task (EFRFT), Multi-Level Action Test (MLAT), Naturalistic Action Test (NAT), and Rabideau Kitchen Evaluation - Revised (RKE-Revised).</li>
</ul>
In total, eleven IADL tools demonstrated adequate reliability and validity for clinical purposes as follows: ADL-Profile, AMPS, CT, EFPT, EFRFT, IADL-Profile, MLAT, MET, NAT, RKE-Revised, and Rivermead ADL Assessment (R-ADL). One tool, the Meal Preparation Scale (MPS), did not demonstrate adequate psychometric properties to be used for clinical purposes.
