TY - JOUR
T1 - Information Communication Technology as Instrumental Activities of Daily Living for Aging-in-Place in Chinese Older Adults With and Without Cognitive Impairment
T2 - The Validation Study of Advanced Instrumental Activities of Daily Living Scale
AU - Lai, Frank Ho Yin
AU - Tong, Angela Yuk Chung
AU - Fung, Ada Wai Tung
AU - Yu, Kathy Ka Ying
AU - Wong, Sharon Sui Lam
AU - Lai, Cynthia Yuen Yi
AU - Man, David Wai Kwong
N1 - Funding information:
This study was supported by Innovation and Technology Fund for Better Living (FBL), under the project VR & AI-based Mobile Apps in Enhancing Independence of Daily Living in Older Adults and People with Early Dementia (Program Code: ITB/FBL/2004/19/P).
Publisher Copyright:
© 2022 Lai, Tong, Fung, Yu, Wong, Lai and Man.
PY - 2022/3/9
Y1 - 2022/3/9
N2 - Background: The capability in applying information communication technology (ICT) is crucial to the functional independence of older peoples of community living nowadays. The proper assessment of individuals' capability of ICT application is the corner stone for the future development of telemedicine in our aging population.Methods: With the recruitment of 300 participants of different functional and social background in home-living, hostel-living, and care-and-attention home living; and through assessing the ability of individuals in instrumental activities of daily living and cognitive assessments, this study aimed at capturing the content validity and construct validity of the Advanced Instrumental Activities of Daily Living (AIADL scale). In addition, this study assess the ability of older peoples in applying ICT and how the functional and social background affects their independence in aging-in-place.Results: The AIADL scale showed good test-retest reliability and good-to-excellent internal consistency. To determine if items of the AIADL scale measure various aspects of community living, exploratory factor analysis revealed a two-factor structure with "home living and management" and "community living". Validity analysis with the known-groups method showed a high overall accuracy of prediction of individuals' capability of independent living in the community.Conclusions: The AIADL scale is a valid and reliable instrument to assess the ability of older adults in handling ICT as part of their instrumental activities in daily living. The scale can reflect capability of older peoples in applying ICT. This instrument can serve as a reference in measuring readiness of individuals in receiving telemedicine and their ability of aging-in-place.
AB - Background: The capability in applying information communication technology (ICT) is crucial to the functional independence of older peoples of community living nowadays. The proper assessment of individuals' capability of ICT application is the corner stone for the future development of telemedicine in our aging population.Methods: With the recruitment of 300 participants of different functional and social background in home-living, hostel-living, and care-and-attention home living; and through assessing the ability of individuals in instrumental activities of daily living and cognitive assessments, this study aimed at capturing the content validity and construct validity of the Advanced Instrumental Activities of Daily Living (AIADL scale). In addition, this study assess the ability of older peoples in applying ICT and how the functional and social background affects their independence in aging-in-place.Results: The AIADL scale showed good test-retest reliability and good-to-excellent internal consistency. To determine if items of the AIADL scale measure various aspects of community living, exploratory factor analysis revealed a two-factor structure with "home living and management" and "community living". Validity analysis with the known-groups method showed a high overall accuracy of prediction of individuals' capability of independent living in the community.Conclusions: The AIADL scale is a valid and reliable instrument to assess the ability of older adults in handling ICT as part of their instrumental activities in daily living. The scale can reflect capability of older peoples in applying ICT. This instrument can serve as a reference in measuring readiness of individuals in receiving telemedicine and their ability of aging-in-place.
KW - aging-in-place
KW - information communication technology
KW - instrumental activities of daily living
KW - older adults
KW - telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85127594387&partnerID=8YFLogxK
U2 - 10.3389/fneur.2022.746640
DO - 10.3389/fneur.2022.746640
M3 - Journal article
C2 - 35356457
SN - 1664-2295
VL - 13
JO - Frontiers in Neurology
JF - Frontiers in Neurology
M1 - 746640
ER -