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- Title
Selbstbeurteilung von Alltagsaktivitäten mittels Duruöz-Hand-Index – Validierung der deutschen Übersetzung.
- Authors
Krupp, Sonja; Schöne, Feliza; Balck, Friedrich; Hofmann, Werner; Willkomm, Martin; Kasper, Jennifer
- Abstract
Background: Independence in activities of daily living depends to a large extent on the upper extremities; however, the instruments widely used in geriatrics to assess self-care abilities do not allow a focus on this body region. In order to map the fluctuating course of hand function-dependent daily living skills with a self-assessment instrument, rheumatologists have developed the Duruöz Hand Index (DHI). Objective: The German translation authorized by Duruöz was tested for its applicability in the assessment of geriatric outpatient and day hospital patients and test quality criteria were determined. Material and methods: Study participants completed the DHI three times. A postgraduate student blinded to the results performed an anamnesis and examination. The geriatric team made an inter-professional assessment of hand function-related daily living skills twice with at least 2‑week intervals. Results: Data collection was performed from 16 November 2016 to 27 April 2017 on 101 geriatric day hospital or outpatient patients. Retest reliability was high (0.937), as was internal consistency (Cronbach's α 0.949). Difficulty with activities of daily living correlated more closely with joint mobility (Keitel Index) and fine motor skills (20 cents test) than with hand strength. Conclusion: The DHI provides a survey of difficulties with activities of daily living that is focused on the upper extremities. Because about one in three patients required assistance (answering follow-up questions, reading aloud) despite the exclusion of patients with more severely impaired cognition and vision, the examiner should remain present.
- Subjects
GERIATRIC assessment; LIFE skills; FINE motor ability; TEST validity; ACTIVITIES of daily living; BLIND students; HOSPITAL patients; GERIATRIC Depression Scale; COGNITION
- Publication
Zeitschrift für Gerontologie und Geriatrie, 2022, Vol 55, Issue 2, p99
- ISSN
0948-6704
- Publication type
Article
- DOI
10.1007/s00391-022-02041-7