Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov 15;19(22):15029.
doi: 10.3390/ijerph192215029.

Patient-Reported Outcome Measures for Assessing Dual-Task Performance in Daily Life: A Review of Current Instruments, Use, and Measurement Properties

Zuhal Abasıyanık  1   2   3   4 , Renee Veldkamp  1   4 , Amber Fostier  1 , Carolien Van Goubergen  1 , Alon Kalron  5 , Peter Feys  1   4
Affiliations

Patient-Reported Outcome Measures for Assessing Dual-Task Performance in Daily Life: A Review of Current Instruments, Use, and Measurement Properties

Zuhal Abasıyanık et al. Int J Environ Res Public Health. .

Abstract

The patient perspective of dual-task (DT) impairment in real life is unclear. This review aimed (i) to identify patient-reported outcome measures (PROMs) on DT and evaluate their measurement properties and (ii) to investigate the usage of PROMs for the evaluation of DT difficulties. A systematic literature search was conducted using PubMed and Web of Science from inception to March 2022. Methodological quality was evaluated using the COSMIN checklist. Six studies examined the measurement properties of DT PROMs. Nine studies used DT PROMs as the outcome measure. Five PROMs were identified, including the Divided Attention Questionnaire (DAQ), Dual-Task-Impact on Daily-life Activities Questionnaire (DIDA-Q), a Questionnaire by Cock et al. (QOC), Dual-Tasking Questionnaire (DTQ), and Dual-Task Screening-List (DTSL). Fourteen measurement properties were documented: five (35.7%) rated quality as "sufficient", six (42.8%) "insufficient", and three (21.4%) "indeterminate". The quality of evidence for each measurement property ranged from very low to high. While DT performance is investigated in many populations, the use of PROMs is still limited, although five instruments are available. Currently, due to insufficient data, it is not possible to recommend a specific DT PROM in a specific population. An exception is DIDA-Q, which has the highest quality of measurement properties in people with multiple sclerosis.

Keywords: cognitive-motor interference; dual-task; patient-reported outcome measures; psychometric properties; reliability; validity.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of the study.
See this image and copyright information in PMC

References

    1. Shema-Shiratzky S., Hillel I., Mirelman A., Regev K., Hsieh K.L., Karni A., Devos H., Sosnoff J.J., Hausdorff J.M. A Wearable Sensor Identifies Alterations in Community Ambulation in Multiple Sclerosis: Contributors to Real-World Gait Quality and Physical Activity. J. Neurol. 2020;267:1912–1921. doi: 10.1007/s00415-020-09759-7. - DOI - PubMed
    1. Hillel I., Gazit E., Nieuwboer A., Avanzino L., Rochester L., Cereatti A., della Croce U., Rikkert M.O., Bloem B.R., Pelosin E., et al. Is Every-Day Walking in Older Adults More Analogous to Dual-Task Walking or to Usual Walking? Elucidating the Gaps between Gait Performance in the Lab and during 24/7 Monitoring. Eur. Rev. Aging Phys. Act. 2019;16:6. doi: 10.1186/s11556-019-0214-5. - DOI - PMC - PubMed
    1. Al-Yahya E., Dawes H., Smith L., Dennis A., Howells K., Cockburn J. Cognitive Motor Interference While Walking: A Systematic Review and Meta-Analysis. Neurosci. Biobehav. Rev. 2011;35:715–728. doi: 10.1016/j.neubiorev.2010.08.008. - DOI - PubMed
    1. Tsang C.S.L., Wang S., Miller T., Pang M.Y.C. Degree and Pattern of Dual-Task Interference during Walking Vary with Component Tasks in People after Stroke: A Systematic Review. J. Physiother. 2022;68:26–36. doi: 10.1016/j.jphys.2021.12.009. - DOI - PubMed
    1. Pena G.M., Pavão S.L., Oliveira M.F., de Campos A.C., Rocha N.A. Dual-Task Effects in Children with Neuromotor Dysfunction: A Systematic Review. Eur. J. Phys. Rehabil. Med. 2019;55:281–290. doi: 10.23736/S1973-9087.19.05556-4. - DOI - PubMed

Publication types

LinkOut - more resources