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Table 1 Instrumental ADL: IADL questionnaire

From: Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex

No.

Questions

Instrumental Self-Maintenance

1

Can you use public transportation (bus or train) by yourself?

2

Are you able to shop for daily necessities by yourself?

3

Are you able to prepare meals by yourself?

4

Are you able to pay bills?

5

Can you handle your own banking?

Intellectual Activity

6

Are you able to fill out forms for your pension?

7

Do you read newspapers or books?

8

Are you interested in news stories or programs dealing with health?

Social Role

9

Do you visit the homes of friends?

10

Are you sometimes called on for advice?

11

Are you able to visit sick friends?

12

Do you ever talk to young people yourself?

  1. The answer is either “yes” or “no.” Each answer will be given 1 point for “yes”
  2. Referring to the TMIG index of Competence from Koyano W, et al. [19]