Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06059768 |
| Other study ID # |
RiphahIU Rida Maryaum |
| Secondary ID |
|
| Status |
Completed |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
September 1, 2023 |
| Est. completion date |
December 15, 2023 |
Study information
| Verified date |
December 2023 |
| Source |
Riphah International University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Functional capacity and independent living skills are most crucial and important aspects to
measure in older adults. Lawton IADL is an 8-item scale used to assess independent living
skills. Lawton IADLS was originally developed in English. It has been translated and
validated in several languages and showed excellent reliability and responsiveness. In our
study Lawton IADL scale will be translated in Urdu and its psychometric analysis will be
performed.The study design will be descriptive translation study. Study will be conducted in
Rahimoon Welfare Foundation old age home of Lahore. Inclusion criteria will be patients of
age between 65-75 years with both genders scoring 24 or more on MMSE and those who will be
fluent in Urdu language. Those patients will be excluded who will have neurological problems
affecting their IADLS, Cognitive/communication dysfunction or Patients with musculoskeletal
impairments affecting IADLs. Participants will be asked to perform Lawton IADLs on the
instruction and on completion performance will be scored. Study will be completed in two
phases. Phase I will consist of Translation of original version (English) into Urdu version
and pilot-testing of translated version. In phase II psychometric analysis will be performed.
Data will be analyzed using SPSS version 21.
Description:
Aging is a constant, natural and inevitable process in living creatures' lives, characterized
by bio psychosocial and cultural changes that are affected by intrinsic factors such as
genetics and by extrinsic factors such as acquired experiences and the environment (World
Health Organization [WHO], 2010).
Geriatrics refers to medical care for older adults, there is no set age to define older age,
but age greater than 65 is mostly used. The elderly, or those older than 65 years, currently
represent 12.5 percent of the U.S. population.With increasing life spans across the world,
Pakistan is also experiencing a rise in its elderly population.According to 1998 Census
report, in Pakistan the population of over-60 years increased to 7.34 million .Functional
capacity is a complex concept that includes basic activities of daily living (BADL),
instrumental activities of daily living (IADL),and advanced activities.BADL demonstrate the
effectiveness of rehabilitation, and determine a person's ability to perform activities of
daily living.The BADL may decline due to age, a specific disease, or a variety of factors
such as decreased muscle strength, loss of vision, and postural changes Functional decline in
older people is nearly 12% in those more than 75 years of age. According to (ECHP) people
over 65 in the European Community, it is observed that 21% of the population is severely
deteriorated to carry out activities of daily living, and this figure rises up to 29% for
people over 75 years old. France would be the European country with most dependence in the
ADL (28% of people over 65). The estimate of prevalence of physical disability in older
adults of Punjab Pakistan varied from 13.9% to 36.6%.The assessment of functional status is
critical when caring for older adults. A functional assessment can also guide the clinician
to focus on the person's baseline capabilities, facilitating early recognition of changes
that may signify a need either for additional resources or for a medical work-up. number of
questionnaires are available to assess IADL, however, no gold standard exists . One of the
most widely used is the Lawton Instrumental Activities of Daily Living Scale developed in
1969 by Lawton and Broady. Lawton IADL is an 8-item scale used to assess independent living
skills. It is most useful for identifying how a person is functioning at a present time and
to identify improvement or deterioration over time.
