ADL Score

Indicator of help needed with Activities of Daily Living (ADLs)

Indicators
Indicator:	ADL Score
Created/Raw:	Created
Program:	Medicine
Start Date:	2003-10-01
End Date:
Reports:	ALERT Scale, Directors Quarterly and Annual Report (Medicine)
Data Dependencies(Reports/Indicators/Data Elements):	ADL Bathing • ADL Dressing • ADL Toiletting • ADL Transfering • ADL Continence • ADL Feeding

This score is derived from the individual #ADL Components collected following general collection instructions in ADL General Collection Information and component-specific criteria defined on the individual component pages listed below.

	It looks like the original Katz ADL uses high scores for good functioning, but our modified one with the intermediate value uses low ones. That isn't intuitive and users of our data might expect otherwise. Am I off in left field on this? If not we should document this explicitly. Ttenbergen 12:32, 24 April 2025 (CDT) it is documented below under Data Use. we can make it as a separate sub-category if you want it explicit. --JMojica 13:18, 24 April 2025 (CDT) I think the meaning of the data needs to be either right at the top or at least in the how it's derived. People hunt and scan documentation rather than read the whole thing, and I don't thin they would expect the basic definition of an item under data use. The binned reporting you also have down there, that belongs under data use in my opinion, but the info about the raw info should be higher. I have made the change, feel free to tweak to make sure it also makes sense to anyone linking from a report. Good eye, Tina. but will it matter 6 to 0 or 0 to 6, if we specify the scores we have used. I just remember the University grading system here in Canada, 5 - highest and 1 - worst. In the Phil the grading system 1-highest and 5 - worst. I have to adjust my brain when I got my first semester grades. Same in DE, best grade is a 1 and worst a 6, 5 and below fail. Or that's what it was when I was in school there, who knows what it is now... Ttenbergen 12:25, 28 April 2025 (CDT) if you are good with this after my edit feel free to delete the discussion Ttenbergen 12:25, 28 April 2025 (CDT)

How is this derived

What we collect

ADL components

We collect the following components:

ADL component scores

For each of the #ADL Components the individual component fields are stored as their full words rather than scores. s_ADLOptions table stores the corresponding scores used in the ADL score or the ALERT Scale as follows:

For criteria see the pages of the individual elements linked above
Option	ADL_Score	ALERT_Score	Explanation
Major	6	6	major assistance
Minor	3	3	minor assistance
Unassisted	1	unassisted / independent

Deviation from Katz's definition

This deviates from the original scoring in Katz' paper:

they only used 2 options
they assigned the higher score to the unassisted

Combined ADL Score

The ADL Score is the sum of points of all the six activities.

Data Use

ALERT Scale Calculation/ALERT Scale
Directors Quarterly and Annual Report (Medicine)
- Get the sum of the 6 ADLs and assign frequencies by categories (e.g. 1-6, 7-12, 13-18, 19-24, 25-30, 31-36)
Overstay Predictor Project
Project Overstay2