Neurological Sciences

, Volume 40, Issue 10, pp 2081–2088 | Cite as

Validation study of the Italian version of Communication Activities of the Daily Living (CADL 2) as an ecologic cognitive assessment measure in older subjects

  • Martina PigliautileEmail author
  • Francesca Chiesi
  • Caterina Primi
  • Silvia Inglese
  • Daniela Mari
  • David Simoni
  • Enrico Mossello
  • Patrizia Mecocci
Original Article



Communication can be affected by age related cognitive decline and mental deterioration. The second edition of the Communication Activities of the Daily Living (CADL 2) appears as an interesting ecological assessment tool of cognitive functions in old age.


The aim of this work is to (1) develop an Italian version of CADL 2, (2) to test its psychometric properties in terms of reliability and validity, and (3) to measure CADL 2 discriminative capacity between cognitively healthy and cognitively impaired older subjects.


One hundred and eleven subjects were enrolled (36 M; 75 F, age 80, 80.85 ± 7 years, education 9.3 ± 4.7 years). The CADL 2 was administered together with a standard neuropsychological battery.


The CADL 2 showed good reliability and correlates with all the cognitive evaluation tests. The CADL 2’s area under the curve was equal to 0.80, index of good diagnostic accuracy.


The CADL 2 is an appropriate assessment tool for communication skills in aging.


Ecological evaluation Communication Daily life Assessment Oldest old Aging 



The authors acknowledge the physicians and the psychologist who collaborated with the Gerontological and Geriatric Session at the Department of the University of Medicine in Perugia. Thanks also to the speech therapist Dr. Simone Timi who contributed to collect informations on CADL 2.

Compliance with ethical standards

The present study was performed in accordance with the Helsinki Declaration. All participants gave their informed consent to participate.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.


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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Department of Medicine, Section of Gerontology and GeriatricsUniversity of PerugiaPerugiaItaly
  2. 2.Department of Neuroscience, Psychology, Drug, and Child’s Health (NEUROFARBA), Section of PsychologyUniversity of FlorenceFlorenceItaly
  3. 3.GeriatricsFondazione IRCCS Ca’ Granda Ospedale Maggiore PoliclinicoMilanItaly
  4. 4.Department of Experimental and Clinical Medicine, Research Unit of Medicine of AgingUniversity of FlorenceFlorenceItaly

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