The Turkish Version of the Late Life Function and Disability Instrument

Primary outcomes

1. Patient Assessment Form

   Time frame: Baseline

   The form, prepared by the researcher, consists of 18 questions aimed at obtaining information on the sociodemographic characteristics of patients. Sociodemographic characteristics include address, age, gender, height, body weight, occupation, education level, social security status, marital status, and dominant hand.

   Additionally, fall history, medical history, family history, and use of assistive devices will be recorded to obtain general health information.

2. Mini-Mental Test (MMT)

   Time frame: Baseline

   The Mini-Mental Test (MMT) is widely used in clinical practice for detecting cognitive impairments, monitoring the progression of dementia syndromes, and assessing responses to treatment. It is also used in epidemiological studies involving elderly individuals living in the community or in institutions.

   The test consists of 11 items grouped under five main sections:

   Orientation Registration memory Attention and calculation Recall Language The total score is 30 points, and it is one of the most commonly used tests for detecting dementia. It was first described by Folstein (1975) and later refined by Molloy et al. (1991). The test has been validated and found to be reliable in the Turkish population. However, since it was initially applicable only to educated elderly individuals, it was revised in 2008 by Keskinoglu et al. to ensure its validity and reliability for both educated and uneducated elderly populations.

3. Late Life Function and Disability Instrument

   Time frame: Baseline

   The Late Life Function and Disability Instrument (LLFDI) was developed to assess significant changes in functional and disability categories.

   The function component consists of 32 questions and is evaluated in three domains:

   Upper extremity function (7 questions: F1, F3, F5, F6, F13, F16, F17) Basic lower extremity function (14 questions: F2, F10, F11, F12, F14, F15, F18, F21, F22, F23, F25, F26, F28, F31) Advanced lower extremity function (11 questions: F4, F7, F8, F9, F19, F20, F24, F27, F29, F30, F32) Each question is scored using a 5-point rating scale.

   The disability component consists of 16 questions, evaluated in two dimensions:

   Frequency Limitation Both dimensions use a 5-point rating scale. The total score of the scale is 100, with higher scores indicating better functional status.

   The scale was originally developed in the United States by Jette et al. in 2002

4. Barthel Activities of Daily Living Index

   Time frame: Baseline

   The Barthel Index assesses an individual's ability to perform daily activities independently, such as:

   Eating Using the toilet Bathing Moving indoors and outdoors

   The total score is 100, and the dependency levels are classified as follows:

   0-20 points → Completely dependent 21-61 points → Severely dependent 62-90 points → Moderately dependent 91-99 points → Mildly dependent 100 points → Fully independent The Barthel Index (BI) was developed by Mahoney and Barthel in 1965. The validity and reliability of its Turkish version were studied by Küçükdeveci et al. in 2000

5. Functional Independence Measure

   Time frame: Baseline

   The Functional Independence Measure (FIM) evaluates an individual's ability to perform daily activities independently in two domains:

   Motor Cognitive

   The total score is 126, and each item is rated as follows:

   7 points → Fully independent 6 points → Modified independence 5 points → No physical assistance needed, only verbal cues 4 points → Minimal assistance (the patient performs at least 75% of the effort) 3 points → Moderate assistance (50-75% effort by the patient) 2 points → Maximum assistance (25-50% effort by the patient)

   1 point → Total assistance The scale was first developed by Karyl et al. in 1993

6. Lequesne Algofunctional Knee Index

   Time frame: Baseline

   The Lequesne Algofunctional Knee Index is designed to evaluate patients with gonarthrosis and consists of three main components:

   Pain or discomfort Maximum walking distance Activities of daily living

   The total score is 24:

   For the first and second sections, scores range from 0 (no pain or functional limitation) to 8 (severe pain or functional limitation).

   The maximum walking distance section is scored from 0 (no limitation) to 6 (walking less than 100 m).

   If the patient uses one cane or crutch, 1 point is added; if they use two canes or crutches, 2 points are added.

   Higher scores indicate worse health status. This index was developed by Lequesne et al. in 1987