Rapid screening for physical activities of daily living (pADL) in older adults in resource limited clinical settings

We evaluated the validity of 3-item shorter versions of Barthel index (BI) in older adults. Sinhala versions of 10 item-BI (BI) and 6-item Katz index (KI) were administered among older adults (≥65 years and n=200). The per-formance of three shorter versions of BI (SV1, SV2 and SV3) was examined considering the 10-item BI and 6-item KI, which are widely used tools to assess the physical activities of daily living (pADL), as the reference standards. These, when compared with the 10-item BI, the sensitivity and specificity of SV1 were 0.28 and 0.87. The corresponding values of SV2 and SV3 were 0.72, 0.66 and 1.0, 0.58. Compared to KI, the sensitivity and specificity of SV1 were 0.21 and 0.80. The corresponding values of SV2 and SV3 were 0.73, 0.84 and 0.87, 0.61. SV2 and SV3, but not SV1, showed satisfactory psychometric properties that make them suitable tools to screen for pADL in older adults. bi fruits are useful in the evaluation of kidney injury.