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Updated: Mar 29, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
['Autonometer'. Proposal of a scale to assess independence in the elderly]
Teodoro González-Pérez1, José Domingo Barroso-Ribal2, Antonieta Nieto-Barco2
1Gerencia de Atención Primaria de Santa Cruz de Tenerife, Servicio Canario de la Salud, Santa Cruz de Tenerife, Canarias, España.
Introduction:
The demographic forecast predicts an aging population in all developed countries, and this will lead to an increase of frailty in the elderly. Gerontology professionals need tools to detect frailty in advance. A test is presented for assessing multidimensional independence, consisting of a questionnaire and a test.
Material And Method:
A test of cognitive functional assessment was designed for the elderly, consisting of a questionnaire of 40 questions (Autonometro-Q) and a test of 26 tasks (Autonometro-T) that can be used together or independently.
Results:
Autonometro-T test obtained a Cronbach α of 0.85 with four dimensions, and a Kappa coefficient of 0.40. Autonometro-Q is a five-dimensional short questionnaire with a Cronbach α of 0.94, a Kappa coefficient of 0.63 and has a sensitivity of 85% and a specificity of 87%, with positive and negative predictive values of 73% and 94%, respectively, using Autonometro-T as the reference standard.
Conclusions:
Autonometro is a useful tool for frailty screening in the elderly, which examines the physical markers related to daily living activities, using an objective test.
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