ScholarWorks > HHS > OT > OJOT > Vol. 14 > Iss. 3 (2026)
Credentials Display
Namrata P Sadarangani, OTD, M.Sc. Gerontology (Honors)
Phyllis Simon, OTD, OTR/L, FNAP
Abstract
Background: Mild Cognitive Impairment (MCI) is a syndrome that is considered a transition phase between healthy cognitive aging and dementia. The person may have subjective memory complaints, substantiated by family or caregiver and/or impaired executive function, that lead to difficulties performing complex Instrumental Activities of Daily Living (IADLs). Our objective was to develop a tool to assess functional cognition in IADLs as a screen for MCI in older adults.
Method: A Qualtrics survey questionnaire was rated by 15 content experts on the relevance of the 22 test item questions to the cognitive domains being measured using a 4-point ordinal scale. The Item Content Validity (I-CVI) and Scale Content Validity (S-CVI) Indices were computed to establish the content validity of the FCI-IADL.
Results: The I-CVI for 20 out of 22 test items was within the range of 0.80 and 1.0, with the exception of two questions, one for memory and one for attention, which had I-CVI scores of 0.73. The S-CVI of the FCI-IADL was 0.92.
Conclusion: The content validity indices of FCI-IADL tool indicate it to be a valid screening tool for MCI in older adults. The next phase will aim to determine the construct validity of the FCI-IADL tool.
Recommended Citation
Sadarangani, N. P., & Simon, P. (2026). The Content Validity of The Functional Cognition Index in Instrumental Activities of Daily Living (FCI-IADL) as a Screening Tool for Mild Cognitive Impairment (MCI) in Older Adults in Singapore. The Open Journal of Occupational Therapy, 14(3), 1-20. https://doi.org/10.15453/2168-6408.2422
Comments
The authors declare that they have no competing financial, professional, or personal interest that might have influenced the performance or presentation of the work described in this manuscript.