More MS news articles for September 2002

The reliability and validity of the Nottingham Extended Activities of Daily Living Scale in patients with multiple sclerosis

http://www.ingenta.com/isis/searching/ExpandTOC/ingenta?issue=infobike://arn/ms/2002/00000008/00000005&index=4

Multiple Sclerosis, 1 October 2002, vol. 8, no 5, pp. 372-376(5)
Nicholl C.[1]; Lincoln N.[1]; Playford E.[2]
[1] School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, UK [2] Division of Rehabilitation and Ageing, University of Nottingham, University Park, Nottingham NG7 2RD, UK

Objective:

To investigate whether the Nottingham Extended Activities of Daily Living Scale (EADL) is reliable and valid for the assessment of disability in patients with multiple sclerosis (MS).

Design:

Questionnaire measures were administered on two occasions four months apart. Subjects: A total of 240 patients recruited through a randomized controlled trial of cognitive assessment and treatment in MS. Measures: The Nottingham EADL, Guys Neurological Disability Scale (GNDS) and SF-36 quality of life scale.

Results:

The EADL items did not form a Guttman Scale (CR 0.8, CS 0.3). The EADL and its four subscales all had high internal consistency ( 0.72-0.94). Test-retest reliability was satisfactory (rs 0.81-0.90) with a mean difference in scores on the two occasions of 0.29. Factor analysis generally supported the subscale structure. There were significant but weak correlations with quality of life measures.

Conclusions:

The EADL shows promise for the assessment of disability in MS, but the range of items needs to be extended. Further evaluation of the scale seems warranted.