[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-iadl":3,"all-assessments-nav":295,"related-assessments-query":942},{"id":4,"title":5,"body":6,"category":276,"categoryTitle":277,"clinicalCitations":278,"copyright":276,"description":282,"disclaimer":276,"downloadLink":276,"extension":283,"faqs":276,"featured":284,"i18nReady":284,"icon":276,"interpreter":276,"lastReviewed":285,"meta":286,"navigation":287,"path":288,"permissionsNote":276,"published":287,"recommendedFrequency":276,"relatedCodes":276,"relatedConditions":276,"reviewedBy":276,"seo":289,"slug":290,"stem":291,"summary":292,"takeaways":276,"timeline":276,"type":293,"usedToDiagnose":276,"__hash__":294},"assessments\u002Fassessments\u002Fiadl.md","IADL: Instrumental Activities of Daily Living Scale",{"type":7,"value":8,"toc":263},"minimark",[9,14,18,26,30,33,85,89,100,127,130,134,137,141,144,170,174,191,195,210,215],[10,11,13],"h3",{"id":12},"about-the-iadl","About the IADL",[15,16,17],"p",{},"The Instrumental Activities of Daily Living (IADL) Scale was developed by M. Powell Lawton and Elaine M. Brody at the Philadelphia Geriatric Center in 1969 as part of a broader effort to comprehensively assess functioning in older adults. It remains one of the most widely used measures of functional status in geriatric and neuropsychological assessment.",[15,19,20,21,25],{},"The IADL is distinguished from the Basic Activities of Daily Living (ADL) scale by its focus on ",[22,23,24],"strong",{},"higher-order, complex activities"," that require cognitive and organizational capacity. 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Contemporary usage applies all 8 items regardless of gender, and clinicians should interpret results in the context of the client's premorbid functional role and capabilities.",[10,138,140],{"id":139},"clinical-applications","Clinical Applications",[15,142,143],{},"The IADL is used across multiple settings:",[101,145,146,152,158,164],{},[37,147,148,151],{},[22,149,150],{},"Geriatric assessment",": Baseline and monitoring for dementia, MCI, and age-related functional decline",[37,153,154,157],{},[22,155,156],{},"Neuropsychological evaluation",": As a functional outcome measure alongside cognitive testing",[37,159,160,163],{},[22,161,162],{},"Discharge planning",": Hospital and rehabilitation settings to assess readiness for independent living",[37,165,166,169],{},[22,167,168],{},"Mental health",": Monitoring functional impact of depression, anxiety, or psychotic disorders in older adults",[10,171,173],{"id":172},"psychometric-properties","Psychometric Properties",[101,175,176,179,182,185,188],{},[37,177,178],{},"Excellent inter-rater reliability when administered by trained clinicians",[37,180,181],{},"Adequate internal consistency across diverse populations",[37,183,184],{},"Strong convergent validity with cognitive measures and clinician-rated global assessments",[37,186,187],{},"Sensitive to functional decline in early dementia stages",[37,189,190],{},"Validated cross-culturally across numerous languages and settings (Tafiadis et al., 2023; Siriwardhana et al., 2018; Kelbling et al., 2024)",[10,192,194],{"id":193},"clinical-considerations","Clinical Considerations",[101,196,197,204,207],{},[37,198,199,200,203],{},"The IADL reflects ",[22,201,202],{},"current"," functional status and may be influenced by physical health, motivation, or environmental factors beyond cognitive capacity",[37,205,206],{},"Discrepancy between self-reported and informant-reported scores is clinically meaningful, informants often identify deficits that patients minimize",[37,208,209],{},"For patients with dementia, informant report is recommended as primary data source",[211,212,214],"h2",{"id":213},"references","References",[101,216,217,225,239,251],{},[37,218,219,220,224],{},"Lawton MP, Brody EM. 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