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The purpose of this study was to develop an IADL scale for elderly residing in health and welfare institutions with an exploratory, confirmatory and simultaneous factor analyses. Subjects were 7,251 residents of 111 special elderly nursing homes and 5,087 residents of 5 health care facilities for the elderly in Shizuoka prefecture. First, the exploratory factor analysis yield four factors: Feeding-related activities, Cleaning-related activities, Intellectual-living-related activities, and Mobility-related activities, respectively. Second, the confirmatory factor analysis indicated that the model comprised of 13 items was fit to our data. Third, the simultaneous factor analysis with six groups divided by sex(male, female) and age brackets(younger-old = 65-74, older-old = 75-84, oldest-old = 85 or more) showed that the model was fit to our data in each group. These results supported validity of the IADL scale for institutional elderly. These findings are expected to provide clinically useful implications particularly in evaluating outcomes of rehabilitation and in designing care-plan adequate to the functional level of institutional elderly.

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UCI(KEPA) : I410-ECN-0101-2018-338-001981357