Activities of daily living performance in dementia (original) (raw)
Related papers
A new assessment of Activities of Daily Living has been developed specifically for use with people with dementia. The assessment is a carer rated instrument consisting of 20 daily-living abilities. The scale has 'face validity', assessing items rated as important by and using levels of ability generated by carers. It has 'construct' validity as demonstrated by principal components analysis. It has 'concurrent' validity in that it correlates well with observed task performance. It has good 'test-retest' reliability as measured by Cohen's Kappa and it correlates well with the Mini-Mental State Examination. Carers report that it is easy to use and it is relatively short. The authors believe the scale will be useful when assessing demented patients in the community or as part of clinical research trials.
Evaluation of the activities of daily living of elderly people with different levels of dementia
Revista Brasileira De Fisioterapia, 2007
OBJECTIVE: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). Also, to verify whether there were any association between the IADL questionnaires applied. METHOD: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA) who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and classified according to the level of severity of their dementia (Clinical Dementia Rating). Their BADLs were assessed using the Katz Index and their IADLs by the Lawton-Brody and Pfeffer indexes. The Kruskal-Wallis and Mann-Whitney tests were used in order to investigate the elderly people's performance regarding BADLs, while the Spearman correlation was used to investigate the relationships among the IADL (a< 0.05). RESULTS: Statistically significant differences in perf...
Comprehensive activities of daily living profile of individuals with dementia living in nursing home
International journal of family & community medicine, 2023
Objective: In this study, it was aimed to comprehensively determine the activities of daily living of elderly people with and without dementia living in nursing homes. Materials and methods: The cognitive status of the individuals participating in the study was evaluated with the trained and Untrained Mini Mental Test (MMT). Participants' Mini Mental Test total scores were divided into 3 groups as 24-28 normal, 18-23 mild dementia, and 8-17 dementia. Activities of Daily Living was evaluated with the Katz Daily Living Scale (Katz), Lawton and Broady Instrumental Activity of Daily Living Scale (EADL). Results: 106 people, 48 (45.3%) female and 58 (54.7%) male, participated in the study. It was determined that the mean age of the participants was 76.86±8.37 years, and the mean BMI was 27.47±5.36 kg/m². According to MMT; The normal group consists of 31 (29.2%), the mild dementia group consists of 43 (40.6%) and the dementia group consists of 32 (30.2%). The mean Katz score of the normal group was 17.74±0.68, the mean Kazt score of the mild dementia group was 17.46±1.42, and the mean Kazt score of the dementia group was 16.43±2.16. Katz bath activity, continence activity; It showed a statistically significant difference between MMT groups (P<0.05). The mean EADL test score was 19.03±5.061 in the normal group, 19.53±4.65 in the mild dementia group, and 15.21±5.66 in the dementia group. EGYA total scores; There was a statistically significant difference between MMT groups (P<0.05). EGYA phone, cooking, housework, laundry, travel, medicine parameters; There was a statistically significant difference between MMT groups (p<0.05). Conclusion: As MMT values of elderly individuals staying in nursing homes decrease; basic and instrumental activities of daily living are also affected.
The Activities of Daily Living Questionnaire: a validation study in patients with dementia
Alzheimer disease and associated disorders
This study describes the development and validation of the Activities of Daily Living Questionnaire (ADLQ), an informant-based assessment of functional abilities, in patients with probable Alzheimer disease and other forms of dementia. The ADLQ measures functioning in six areas: self-care, household care, employment and recreation, shopping and money, travel, and communication. The ADLQ was administered to 140 caregivers followed longitudinally in the Northwestern Alzheimer's Disease Center. In a subset of 28 participants, the total ADLQ score and each of the subscales were found to be highly reproducible, with average concordance coefficients of 0.86. Concurrent validity was established by comparing the ADLQ with the Record of Independent Living, a previously validated measure of level of dependency in daily living activities. The ADLQ was also compared with other measures of dementia severity on the initial and annual follow-up visits and was found to be significantly and nega...
Daily functioning and dementia
Dement Neuropsychol, 2020
Dementia is characterized by a decline in memory, language, problem-solving and in other cognitive domains that affect a person's ability to perform everyday activities and social functioning. It is consistently agreed that cognitive impairment is an important risk factor for developing functional disabilities in patients with dementia. Functional status can be conceptualized as the ability to perform self-care, self-maintenance and physical activity. A person with dementia usually requires help with more complex tasks, such as managing bills and finances, or simply maintaining a household. Good functional performance is fundamental for elderly people to maintain independency and avoid institutionalization. The purpose of this review is to describe functional changes in demented patients, evaluating the variability in subgroups of dementias. Key words: activities of daily living (ADLs), dementia, functional abilities, instrumental activities of daily living (IADLs). ATIVIDADES D...
Profiles of Decline in Activities of Daily Living in Non-Alzheimer Dementia
Alzheimer Disease & Associated Disorders, 2007
Assessment of functional ability is an essential component in the clinical diagnosis of dementia. Most studies have primarily focused on disability due to Alzheimer disease (AD), and less is known about profiles of functional impairment in other dementia syndromes. Functional ability was assessed in individuals in the early stages of AD (N = 100), the behavioral variant of frontotemporal dementia (FTD) (N = 57), and primary progressive aphasia (PPA) (N = 61), using the activities of daily living questionnaire . The average duration of illness for the 3 groups ranged from 3.4 to 3.9 years. Overall level of functional impairment and the profile of abilities across subscales of Self-Care, Household Care, Employment and Recreation, Shopping and Money, Travel, and Communication were examined. Results showed that overall functional ability was moderately impaired in AD and FTD, and mildly impaired in PPA. For all groups, more complex ADLs were impaired early on, with relative preservation of self-care activities. The Communication score was the least impaired next to Self-Care for FTD and AD, and the most impaired for PPA patients. The activities of daily living questionnaire may capture aspects of preserved functioning that are not apparent from patients' scores on cognitive tests, especially for those with aphasia.
International Journal of Geriatric Psychiatry, 2007
Background Despite the fact that the current definitions of dementia in the DSM-IV and ICD-10 require functional deterioration for the diagnosis of dementia, it is not necessary a formal evaluation of functional capacity. Objectives To examine the efficiency of functional assessment as a method of screening dementia in population studies. Methods This systematic review was based on information from MEDLINE, EMBASE, Index Médico Español (IME), and related articles. The studies included are population studies of patients over 65, in which normal and demented (established diagnosis) subjects are compared. In all of them, subjects were evaluated using the instrumental activities of daily living scale (IADL) as the method of screening for dementia. Results Two thousand three hundred and three abstracts and bibliographical references were reviewed. The authors of the selected studies were contacted and asked about other ongoing studies or indexes not included in our review in order to complete a meta-analysis. Finally, five studies were selected (n ¼ 11.960). A meta-analysis was performed, with a statistical Q* value of 0.88 (SE 0.26).
Dementia and Geriatric Cognitive Disorders Extra, 2019
Aim: The aim of this study was to determine Activities of Daily Living/Instrumental Activities of Daily Living (ADL/IADL) evaluations that will enable better understanding of the severity of Alzheimer’s disease (AD). Methods: AD patients were evaluated by Functional Independence Measure (FIM), Hyogo Activities of Daily Living Scale (HADLS), and Assessment of Motor and Process Skills (AMPS) to identify the assessments that will enable highly precise discrimination of AD Clinical Dementia Rating (CDR) 2 (moderate) and CDR3 (severe) using receiver operating characteristic (ROC) curve and discriminant analyses. Results: The participants were 75 AD patients (CDR2 = 50, mean age = 80.3 ± 5.9 years; CDR3 = 25, mean age = 78.3 ± 9.0 years). The evaluation methods consisted of FIM, HADLS, and AMPS. The results were divided into FIM-M, FIM-C, HADLS-ADL, HADLS-IADL, AMPS-motor skills, and AMPS-process skills. The values for the area under the curve (AUC) were compared by ROC curve and discrimi...
BMC Geriatrics
Background Dementia is affecting both the person with the disease and the family members. It is associated with nursing home admission, and a reduced ability to perform personal activities of daily living (P-ADL). The aim of this study was to examine the association between the severity of dementia and P-ADL function, and to study if additional factors such as neuropsychiatric symptoms, type of nursing home unit, and use of medication were associated with P-ADL function. Methods A total of 582 nursing home residents with dementia, included at admission to the nursing home, were followed with biannual assessments for 36 months. P-ADL was assessed using the Physical Self-Maintenance scale, and severity of dementia was measured with the Clinical Dementia Rating scale. In addition, neuropsychiatric symptoms, general physical health, and use of medications were assessed at the same time points. Demographic information was collected at baseline. Linear mixed models were estimated. Results...
Dementia and Geriatric Cognitive Disorders Extra, 2020
Background/Aims: Age-related changes in impairments in activities of daily living (ADL) in older adults with very mild Alzheimer’s disease (vmAD) have been scarcely explored. We clarified the characteristics of ADL impairment and examined how ADL impairments differed by age in such patients compared with community-dwelling cognitively normal older adults. Methods: The participants were 107 older adults with vmAD (Mini-Mental State Examination [MMSE] score ≥24), all of whom were first-visit outpatients at the Dementia Clinic of the Department of Neuropsychiatry, Kumamoto University Hospital. The controls were 682 community-dwelling older adults who participated in the 3rd Nakayama Study with MMSE score ≥24. We examined the association of instrumental and basic ADL (IADL and BADL, respectively) independence with the odds of vmAD using multiple logistic regression analysis and determined differences in ADL impairment by age using age- and sex-matched analysis. Results: Impairments in h...