COSMIN database

Measurement of activities of daily living in patients with COPD: a systematic review

Janaudis-Ferreira, T., Beauchamp, M. K., Robles, P. G., Goldstein, R. S., and Brooks, D.
BACKGROUND: The objectives of this systematic review were to synthesize the literature on measures of activities of daily living (ADLs) that have been used in individuals with COPD and to provide an overview of the psychometric properties of the identified measures and describe the relationship of the disease-specific instruments with other relevant outcome measures for individuals with COPD and health-care use.

METHODS: Studies that included a measure of ADLs in individuals with COPD were identified using electronic and hand searches. Two investigators performed the literature search. One investigator reviewed the study title, abstract, and full text of the articles to determine study eligibility and performed the data extraction and tabulation. In cases of uncertainty, a second reviewer was consulted.

RESULTS: A total of 679 articles were identified. Of those, 116 met the inclusion criteria. Twenty-seven ADLs instruments were identified, of which 11 instruments were respiratory disease-specific, whereas 16 were generic. Most instruments combined instrumental ADLs (IADLs) with basic ADLs (BADLs). The majority of the instruments were self-reported; only three instruments were performance based. Twenty-one studies assessed psychometric properties of 16 ADLs instruments in patients with COPD.

CONCLUSIONS: Although several ADLs instruments were identified, psychometric properties have only been reported in a few. Selection of the most appropriate measure should focus on the target construct (BADLs or IADLs or both), type of test (disease-specific vs generic and self-reported vs performance-based), depth of information obtained, and psychometric properties of the instruments. Given the relevance of ADLs to the lives of patients with COPD, its assessment should be more frequently incorporated as a clinical outcome in their management.
1931-3543 (Electronic)
Publication year:
Functional status:
Physical functioning
Adults (18-65)
Children (0-18)
Seniors (65+)
Diseases of and symptoms related to the respiratory system
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
ADLI - Activities of Daily Living Inventory
ADLQ - Activities of Daily Living Questionnaire
BI - Barthel Index   
CARS - COPD Activity Rating Scale
CDLM - Capacity of Daily Living during the Morning questionnaire
COPM - Canadian Occupational Performance Measure   
FAST - Fitness Arthritis and Seniors Trial Functional Performance Inventory
FIM - Functional Independence Measure (Also modified version exists)
FPI - Functional Performance Inventory
FPI-SF - Functional Performance Inventory—Short Form
GARS - Groninger Activity Restriction Scale   
Glittre ADL
Katz ADL - Katz’ Index Of Independence In Activities Of Daily Living    | 
Lawton and Brody Activities of Daily Living scale
LHS - London Handicap Scale   
MFTE - Monitored Functional Task Evaluation
MRADLQ - Manchester Respiratory Activities of Daily Living Questionnaire
NEADL - Nottingham Extended Activities of Daily Living Scale   
Neistadt and Crepeau Activities of Daily Living test
PFSDQ-M - modified Pulmonary Functional Status & Dyspnea Questionnaire
PFSDQ - Pulmonary Functional Status & Dyspnea Questionnaire
PFSS-11 - Pulmonary Functional Status Scale—Short Version
PFSS - Pulmonary Function Status Scale
Stanford HAQ - Stanford Health Assessment Questionnaire
The Valued Life Activity Scale
Townsend’s Disability Scale