Validation study of the Italian version of Communication Activities of the Daily Living (CADL 2) as an ecologic cognitive assessment measure in older subjects

Martina Pigliautile; Francesca Chiesi; Caterina Primi; Silvia Inglese; Daniela Mari; David Simoni; Enrico Mossello; Patrizia Mecocci

doi:10.1007/s10072-019-03937-w

Validation study of the Italian version of Communication Activities of the Daily Living (CADL 2) as an ecologic cognitive assessment measure in older subjects

Neurol Sci. 2019 Oct;40(10):2081-2088. doi: 10.1007/s10072-019-03937-w. Epub 2019 May 28.

Authors

Martina Pigliautile¹, Francesca Chiesi², Caterina Primi², Silvia Inglese³, Daniela Mari³, David Simoni⁴, Enrico Mossello⁴, Patrizia Mecocci⁵

Affiliations

¹ Department of Medicine, Section of Gerontology and Geriatrics, University of Perugia, Piazzale Gambuli, 1, 06132, Perugia, Italy. martina.pigliautile@gmail.com.
² Department of Neuroscience, Psychology, Drug, and Child's Health (NEUROFARBA), Section of Psychology, University of Florence, Florence, FI, Italy.
³ Geriatrics, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
⁴ Department of Experimental and Clinical Medicine, Research Unit of Medicine of Aging, University of Florence, Florence, FI, Italy.
⁵ Department of Medicine, Section of Gerontology and Geriatrics, University of Perugia, Piazzale Gambuli, 1, 06132, Perugia, Italy.

PMID: 31140014
DOI: 10.1007/s10072-019-03937-w

Abstract

Introduction: Communication can be affected by age related cognitive decline and mental deterioration. The second edition of the Communication Activities of the Daily Living (CADL 2) appears as an interesting ecological assessment tool of cognitive functions in old age.

Objective: The aim of this work is to (1) develop an Italian version of CADL 2, (2) to test its psychometric properties in terms of reliability and validity, and (3) to measure CADL 2 discriminative capacity between cognitively healthy and cognitively impaired older subjects.

Method: One hundred and eleven subjects were enrolled (36 M; 75 F, age 80, 80.85 ± 7 years, education 9.3 ± 4.7 years). The CADL 2 was administered together with a standard neuropsychological battery.

Results: The CADL 2 showed good reliability and correlates with all the cognitive evaluation tests. The CADL 2's area under the curve was equal to 0.80, index of good diagnostic accuracy.

Conclusions: The CADL 2 is an appropriate assessment tool for communication skills in aging.

Keywords: Aging; Assessment; Communication; Daily life; Ecological evaluation; Oldest old.

Publication types

Validation Study

MeSH terms

Activities of Daily Living
Aged
Aged, 80 and over
Cognitive Dysfunction / diagnosis*
Communication
Communication Disorders / diagnosis*
Female
Humans
Italy
Language
Male
Neuropsychological Tests*
Psychometrics / instrumentation*

Grants and funding

no number/This research project was supported by 2007-2013 ESF "Competitiveness and Employment objective" Umbrian Regional Operational Programme (ROP), Avviso pubblico aiuti individuali per la realizzazione di progetti di ricerca.