Prediction of functional status in older adults: The ecological validity of four Delis-Kaplan Executive Function System tests

This study tested the ecological validity of four Delis-Kaplan Executive Function System (D-KEFS) tests by examining how well performance on D-KEFS measures predicted observed daily functioning in community-dwelling older adults. Older adults ages 65 to 92 years completed four D-KEFS tests requiring planning and cognitive fluency. The four combined D-KEFS measures accounted for approximately 26% of the variance in observed functional ability, when controlling for education and depression, thus supporting the ecological validity of the D-KEFS (Pearson r=.66). However, in a multiple regression analysis, the D-KEFS Trail Making Test-4 was the only measure of executive functioning that accounted for unique, independent variance in observed functional ability.