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Translation and validation of Chinese version of the Problems in Everyday Living (PEDL) test in patients with mild cognitive impairment

Published online by Cambridge University Press:  14 November 2013

Lawla L. F. Law ,
Fiona Barnett ,
Marion A. Gray ,
Matthew K. Yau  and
Andrew M. H. Siu
Lawla L. F. Law*
Affiliation:
Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Queensland, Australia
Fiona Barnett
Affiliation:
Institute of Sport & Exercise Science, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Queensland, Australia
Marion A. Gray
Affiliation:
Cluster for Health Improvement, School of Health and Sport Sciences, University of the Sunshine Coast, Maroochydore DC, Queensland, Australia
Matthew K. Yau
Affiliation:
Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Queensland, Australia
Andrew M. H. Siu
Affiliation:
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hunghom, Kowloon, Hong Kong, China
*
Correspondence should be Addressed to: Lawla L. F. Law, Occupational Therapy Discipline, School of Public Health, Tropical Medicine and Rehabilitation Sciences, Rehabilitation and Exercise Sciences Building, James Cook University, James Cook Drive, Douglas, Townsville, QLD 4811, Australia. Phone: +61 7 47816678. Email: lan.law@my.jcu.edu.au.
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Abstract

Background:

Cognitive impairment places older adults at increased risk of functional decline, injuries, and hospitalization. Assessments to determine whether older persons are still capable of meeting the cognitive challenges of everyday living are crucial to ensure their safe and independent living in the community. The present study aims to translate and validate the Chinese version of the Problems in Everyday Living (PEDL) test for use in Chinese population with mild cognitive impairment (MCI).

Methods:

The cultural relevancy and content validity of the Chinese version of PEDL (C-PEDL) was evaluated by a seven-member expert panel. Forty patients with MCI and 40 cognitively healthy participants were recruited to examine the psychometric properties of C-PEDL.

Results:

Significant differences in the C-PEDL scores were found between the patients with MCI and the cognitively healthy controls in both educated (F = 9.96, p = 0.003) and illiterate (F = 10.43, p = 0.004) populations. The C-PEDL had excellent test-retest and inter-rater reliabilities, with intraclass correlation coefficient at 0.95 and 0.99 respectively. The internal consistency of C-PEDL was acceptable with Chronbach's α at 0.69. The C-PEDL had moderate correlation with the Mini-Mental State Examination (r = 0.45, p = 0.004) and the Category Verbal Fluency Test (r = 0.40, p = 0.012), and a moderate negative Spearman's correlation with the Global Deteriorating Scale (r = –0.42, p = 0.007).

Conclusions:

The C-PEDL is a valid and reliable test for assessing the everyday problem-solving ability in Chinese older population with MCI.

Keywords

mild cognitive impairmentproblem solvingChinese translationvalidation
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 2 , February 2014 , pp. 273 - 284
Copyright
Copyright © International Psychogeriatric Association 2013 

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