Systematic review of reviews on Activities of Daily Living measures for children with developmental disabilities

Background: There seems to be a lack of consensus on the concept and domains of Activities of Daily Living (ADL) measured among children and adolescents with developmental disabilities (DD), despite a significant number of existing measures of ADL and associated constructs, and two prevailing theoretical frameworks (i.e., the cognitive-social-practical framework, and the activity-and-participation framework). Aims: This systematic review (SR) aims to identify articles that systematically reviewed measures of ADL for children and adolescents aged 7-18 years with DD to evaluate the quality of included articles, and describe the measures and domains identified. Methods: and Procedures: Searches were conducted in PubMed (R), Academic Search Complete (R) (EBSCOhost), Education Source Search (R) (EBSCOhost), ERIC (R) (EBSCOhost), and PsychInfo (R) (EBSCOhost). 14,931 articles were identified, and two researchers completed title screening, abstract screening, and full-text screening, with dis-agreements resolved. Out of these 14,931 articles, fourteen were included, which resulted in a total of 163 ADL measures. Out of the 163 ADL measures, forty-eight met the criteria and were included for analysis. PRISMA and COSMIN checklists were used to appraise the methodological quality of the included articles. Outcomes and results: Results indicated that most of the 14 systematic review articles did not provide information on instrument development and content validity of their included measures. Analysis of the identified 48 measures of ADL and its associated constructs revealed heterogeneity in domains covered, although there were seven domains that were most often included. Conclusions and implications: Implications in terms of practice, research, and policy are further discussed.