[Identification of items for creating a questionnaire for the assessment of instrumental activities of daily living (IADL) in elderly patients]. / Identificación de ítems para la creación de un cuestionario de valoración de actividades instrumentales de la vida diaria en personas mayores.

OBJECTIVE: To identify items to design a questionnaire to assess IADL in the elderly in the community. DESIGN: Delphi study. LOCATION: Community setting, primary health care. PARTICIPANTS: Fifty seven multidisciplinary experts (family doctors, geriatricians, physiotherapists, social workers, male nurses) who are members of the Spanish Society of Family and Community Medicine or the Spanish Geriatrics and Gerontology Society. METHODS: Three consecutive questions sent via e-mail or fax. First: what items you would take into account in a questionnaire to assess IADL in the elderly? Second: out of the groupings select 10 you consider to be of special relevance? Third: among the 14 more most selected items, select, by scoring from 1 to 10, the ones you consider more important? In the end we obtained the 10 items to include in the questionnaire according to their scores. RESULTS: Thirty experts answered the 3 mailings. The 53 initial proposals were grouped into 24 items. In the end we obtained the following selection (from higher to lower score): dealing with medication, use of the telephone, housework, handling money, walking outside the home, security measures and risk avoidance, shopping, dealing with doors and keys, transport use, and means of social contact. CONCLUSIONS: Only 2 items could have gender influence (in contrast to other questionnaires), as "shopping" does not refer only to the household ones and "housework" also includes activities carried out by males. The most important items are "dealing with medication" (due to the high prevalence of problems and clinical outcomes) and "the use of the telephone" (survival item).

Identificación de ítems para la creación de un cuestionario de valoración de actividades instrumentales de la vida diaria en personas mayores / Identification of items for creating a questionnaire for the assessment of instrumental activities of daily living (IADL) in elderly patients

Objetivo. Seleccionar ítems para diseñar un cuestionario de valoración de las actividades instrumentales de la vida diaria (AIVD) en personas mayores residentes en la comunidad. Diseño. Estudio Delphi. Emplazamiento. Medio comunitario, atención primaria. Participantes. Un total de 57 expertos multidisciplinarios (médicos de familia, geriatras, fisioterapeutas, trabajadores sociales, enfermeros) pertenecientes a la Sociedad Española de Medicina de Familia y Comunitaria (semFYC) o a la Sociedad Española de Geriatría y Gerontología (SEGG). Métodos. Se realizaron 3 envíos consecutivos por correo electrónico o fax. En el primer envío se interrogaba acerca de qué ítems incluirían en un cuestionario para valorar las AIVD en personas mayores; en el segundo se pedía que seleccionaran, de los ítems agrupados, los 10 que consideraran más relevantes, y un tercero se solicitaba que, de los 14 ítems más seleccionados, puntuaran de 1 a 10 los más trascendentes. Así pues, se obtuvieron ordenados por puntuación los 10 ítems que debían ser incluidos. Resultados. A los 3 correos contestaron 30 expertos. Las 53 propuestas iniciales se agruparon en 24 ítems y finalmente se seleccionaron (de mayor a menor puntuación) los siguientes: utilización de los fármacos, uso del teléfono, tareas domésticas, utilización del dinero, deambulación fuera del domicilio, medidas de seguridad y evitación de riesgos, realización de compras, uso de puertas y llaves, uso del transporte y medios de relación social. Conclusiones. Sólo 2 ítems podrían estar influidos por el sexo (en contraposición con otros cuestionarios disponibles), aunque «la realización de compras» no se limita a las domésticas y en «tareas domésticas» se incluyen actividades también realizadas por los varones. Los ítems más relevantes son «utilización de los fármacos» (importancia por prevalencia/repercusión clínica) y «empleo del teléfono» (ítem de subsistencia)

Objective. To identify items to design a questionnaire to assess IADL in the elderly in the community. Design. Delphi study. Location. Community setting, primary health care. Participants. Fifty seven multidisciplinary experts (family doctors, geriatricians, physiotherapists, social workers, male nurses) who are members of the Spanish Society of Family and Community Medicine or the Spanish Geriatrics and Gerontology Society. Methods. Three consecutive questions sent via e-mail or fax. First: what items you would take into account in a questionnaire to assess IADL in the elderly? Second: out of the groupings select 10 you consider to be of special relevance? Third: among the 14 more most selected items, select, by scoring from 1 to 10, the ones you consider more important? In the end we obtained the 10 items to include in the questionnaire according to their scores. Results. Thirty experts answered the 3 mailings. The 53 initial proposals were grouped into 24 items. In the end we obtained the following selection (from higher to lower score): dealing with medication, use of the telephone, housework, handling money, walking outside the home, security measures and risk avoidance, shopping, dealing with doors and keys, transport use, and means of social contact. Conclusions. Only 2 items could have gender influence (in contrast to other questionnaires), as "shopping" does not refer only to the household ones and "housework" also includes activities carried out by males. The most important items are "dealing with medication" (due to the high prevalence of problems and clinical outcomes) and "the use of the telephone" (survival item)