Assessing resistance to activities of daily living in long-term care.
OBJECTIVE
The Psychosocial Resistance to Activities of Daily Living Index (PRADLI) was developed for psychiatric nurses, geropsychologists, and clinical social workers to assess the level of long-term care (LTC) residents' resistance to and cooperation with staff in performing activities of daily living.


METHODS
The PRADLI consists of 8 activities of daily living that commonly trigger a psychiatric or psychologic referral when residents resist necessary care in these domains. The PRADLI items were examined for internal consistency and test-retest reliability. Four of the 8 items overlap with most standard ADL scales, and convergent and discriminant validity was investigated using the ADL index from Katz, Ford, Moskowitz, and colleagues.


METHODS
Four hundred six residents of LTC facilities were rated for levels of the previously mentioned ADL indices.


RESULTS
The PRADLI was evidenced to be a reliable and valid assessment tool for assessing resistance to ADLs in LTC facilities.


CONCLUSIONS
The PRADLI is an instrument that can potentially be used by LTC staff to assess ADLs. Research on the use of the PRADLI as a treatment outcome instrument in multidisciplinary LTC settings is warranted. Assessing ADLs within the context of residents' cooperation with LTC is an important part of understanding residents' overall quality of life.
Clifford
P Andrew
PA
Senior Connections of Dallas, Texas, USA.
Cipher
Daisha J
DJ
Roper
Kristi D
KD
D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged / Q000502:physiology / Q000523:psychology*; D000369:Aged, 80 and over; D003704:Dementia / Q000150:complications / Q000175:diagnosis; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis; D016002:Discriminant Analysis; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care / Q000523:psychology*; D008297:Male; D009735:Nursing Homes; D010146:Pain / Q000150:complications / Q000175:diagnosis; D010147:Pain Measurement / Q000592:standards; D010348:Patient Care Team; D011569:Psychiatric Status Rating Scales / Q000592:standards; D011788:Quality of Life; D013781:Texas; D016312:Treatment Refusal / Q000523:psychology*