The Survey for the Effect of Guideline about Activities of Daily Living in Dementia Patients "Il-sang-ye-chan" Campaign

2014 ◽  
Vol 13 (4) ◽  
pp. 101 ◽  
Author(s):  
Hojin Choi ◽  
Yeon-Sil Moon ◽  
Chan-Nyoung Lee ◽  
YoungSoon Yang ◽  
Eun-Hyang Song ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Dementia Patients

scholarly journals Automated Classification of Normal Control and Early-Stage Dementia Based on Activities of Daily Living (ADL) Data Acquired from Smart Home Environment

2021 ◽  
Vol 18 (24) ◽  
pp. 13235
Author(s):  
Lee-Nam Kwon ◽  
Dong-Hun Yang ◽  
Myung-Gwon Hwang ◽  
Soo-Jin Lim ◽  
Young-Kuk Kim ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Normal Control ◽  
Daily Living ◽  
Smart Home ◽  
Early Stage ◽  
Machine Learning Techniques ◽  
Evaluation Tool ◽  
Dementia Patients ◽  
Diagnosis Of Dementia

With the global trend toward an aging population, the increasing number of dementia patients and elderly living alone has emerged as a serious social issue in South Korea. The assessment of activities of daily living (ADL) is essential for diagnosing dementia. However, since the assessment is based on the ADL questionnaire, it relies on subjective judgment and lacks objectivity. Seven healthy seniors and six with early-stage dementia participated in the study to obtain ADL data. The derived ADL features were generated by smart home sensors. Statistical methods and machine learning techniques were employed to develop a model for auto-classifying the normal controls and early-stage dementia patients. The proposed approach verified the developed model as an objective ADL evaluation tool for the diagnosis of dementia. A random forest algorithm was used to compare a personalized model and a non-personalized model. The comparison result verified that the accuracy (91.20%) of the personalized model was higher than that (84.54%) of the non-personalized model. This indicates that the cognitive ability-based personalization showed encouraging performance in the classification of normal control and early-stage dementia and it is expected that the findings of this study will serve as important basic data for the objective diagnosis of dementia.

The Survey for Current State and Dognition of Activities of Daily Living in Dementia Patients- "Il-sang-ye-chan" Campaign

2013 ◽  
Vol 12 (2) ◽  
pp. 47 ◽  
Author(s):  
Hojin Choi ◽  
Young Soon Yang ◽  
Hee-Jin Kim ◽  
Hae Ri Na ◽  
Yong S. Shim ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Current State ◽  
Dementia Patients

Combined Exercise and Cognitive Training System for Dementia Patients: A Randomized Controlled Trial

2018 ◽  
Vol 45 (5-6) ◽  
pp. 318-325 ◽  
Author(s):  
Hitoshi Okamura ◽  
Michiaki Otani ◽  
Naonori Shimoyama ◽  
Takayuki Fujii
Keyword(s):  
Activities Of Daily Living ◽  
Cognitive Training ◽  
Daily Living ◽  
Controlled Trial ◽  
Intervention Group ◽  
Training System ◽  
Control Group ◽  
Combined System ◽  
Combined Exercise ◽  
Dementia Patients

Background/Aims: We investigated the efficacy of a combined exercise and cognitive training system that we devised for improvement of attention and concentration, cognition, and activities of daily living in older adults with dementia. Methods: A total of 100 dementia patients were randomly assigned to an intervention group or a control group. The intervention group was subjected to a combined exercise and cognitive training for 6 consecutive weeks. Evaluations were performed using the Trail Making Test-Part A, the Mini-Mental State Examination, and an N-type activities of daily living evaluation scale for the elderly. Results: A comparison of the changes in scores on the evaluation scales between the intervention group and the control group showed significant interactions for all scores. Conclusions: The combined system is effective in increasing attention and concentration and improving cognitive function and activities of daily living in dementia patients.

scholarly journals P03.01 Evaluation of the relevance of an Instrumental Activities of Daily Living (IADL) questionnaire developed for dementia patients in glioma patients

2016 ◽  
Vol 18 (suppl_4) ◽  
pp. iv22-iv23
Author(s):  
Q. Oort ◽  
L. Dirven ◽  
W. Meijer ◽  
S. A. M. Sikkes ◽  
B. M. J. Uitdehaag ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Instrumental Activities ◽  
Dementia Patients

scholarly journals Clinical Correlates of Awareness for Balance, Function, and Memory: Evidence for the Modality Specificity of Awareness

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Megan E. O'Connell ◽  
Vanina Dal Bello-Haas ◽  
Margaret Crossley ◽  
Debra Morgan
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
The Novel ◽  
Balance Confidence ◽  
Clinical Correlates ◽  
Domain Specific ◽  
Instrumental Activities ◽  
Dementia Patients ◽  
Modality Specificity ◽  
Memory Awareness

Awareness in dementia is increasingly recognized not only as multifactorial, but also as domain specific. We demonstrate differential clinical correlates for awareness of daily function, awareness of memory, and the novel exploration of awareness of balance. Awareness of function was higher for participants with mild cognitive impairment (aMCI and non-aMCI) than for those with dementia (due to Alzheimer disease; AD and non-AD), whereas awareness of memory was higher for both non-aMCI and non-AD dementia patients than for those with aMCI or AD. Balance awareness did not differ based on diagnostic subgroup. Awareness of function was associated with instrumental activities of daily living and caregiver burden. In contrast, awareness of balance was associated with fall history, balance confidence, and instrumental activities of daily living. Clinical correlates of awareness of memory depended on diagnostic group: associations held with neuropsychological variables for non-AD dementia, but for patients with AD dementia, depression and instrumental activities of daily living were clinical correlates of memory awareness. Together, these data provide support for the hypothesis that awareness and dementia are not unitary and are, instead, modality specific.

Recording care time in nursing homes: development and validation of the “RUD-FOCA” (Resource Utilization in Dementia – Formal Care)

2010 ◽  
Vol 22 (8) ◽  
pp. 1291-1300 ◽  
Author(s):  
Katharina Luttenberger ◽  
Elmar Graessel
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Activities Of Daily Living ◽  
Resource Utilization ◽  
Daily Living ◽  
Direct Care ◽  
Formal Care ◽  
Retest Reliability ◽  
Dementia Patients ◽  
Home Recording

ABSTRACTBackground: Currently there is no standardized procedure for recording direct care time of dementia patients in a nursing home. Recording the direct care time, however, provides an important component of both cost estimates for time-dependent reimbursement of nursing activities and for recording the degree of dependency as an outcome measure for the efficiency of new treatment methods for dementia patients. The purpose of this study is thus to develop and validate the “RUD-FOCA” (Resource Utilization in Dementia – Formal Care), based on the RUD lite, as a standardized tool to measure the direct care time actually required in the nursing home.Methods: Based on four hypotheses, construct validity was tested within a randomized controlled trial in a sample of 148 residents in six German nursing homes. The RUD-FOCA records the care time in three areas: activities of daily living (ADL), instrumental activities of daily living (IADL) and supervision. For validation, the residents’ capabilities were examined using the Barthel Index, the Nurses’ Observation Scale on Geriatric Patients (NOSGER), the Alzheimer Disease Assessment Scale (ADAS), the Erlangen Test on Activities of Daily Living (E-ADL) and the Mini-mental State Examination (MMSE). The hypotheses assume relationships between the time required for care in the three areas and the limitations involved in these areas. The retest reliability was also determined.Results: ADL care accounts for two-thirds of total care time in the homes. The hypotheses which refer to total time, ADL and supervision are supported by differentiated correlation profiles. The IADL hypothesis is not supported owing to even, low correlations. The retest reliability was r = 0.76 for the entire care time.Conclusions: Overall time and the times for ADL care and supervision can be considered valid estimates. The validity is lowest for recording IADL times. Thus, the RUD-FOCA is suitable as an instrument to determine the direct care time in the nursing home. Recording IADL times should be improved by detailed operationalization.

scholarly journals Chilean version of the INECO Frontal Screening (IFS-Ch): Psychometric properties and diagnostic accuracy

2013 ◽  
Vol 7 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Josefina Ihnen ◽  
Andrés Antivilo ◽  
Carlos Muñoz-Neira ◽  
Andrea Slachevsky
Keyword(s):  
Diagnostic Accuracy ◽  
Activities Of Daily Living ◽  
Psychometric Properties ◽  
Functional Status ◽  
Content Validity ◽  
Verbal Fluency ◽  
Daily Living ◽  
Control Subjects ◽  
Dementia Patients ◽  
And Control

ABSTRACT Objective: This study sought to analyze the psychometric properties and diagnostic accuracy of the Chilean version of the INECO Frontal Screening (IFS-Ch) in a sample of dementia patients and control Methods: After adapting the instrument to the Chilean context and obtaining content validity evidence through expert consultation, the IFS-Ch was administered to 31 dementia patients and 30 control subjects together with other executive assessments (Frontal Assessment Battery [FAB], Modified version of the Wisconsin Card Sorting Test [MCST], phonemic verbal fluencies [letters A and P] and semantic verbal fluency [animals]) and global cognitive efficiency tests (Mini mental State Examination [MMSE] and Addenbrooke's Cognitive Examination-Revised [ACE-R]). Caregivers of dementia patients and proxies of control subjects were interviewed with instruments measuring dysexecutive symptoms (Dysexecutive Questionnaire [DEX]), dementia severity (Clinical Dementia Rating Scale [CDR]) and functional status in activities of daily living (Activities of Daily Living Scale [IADL] and Technology-Activities of Daily Living Questionnaire [T-ADLQ]). Convergent and discriminant validity, internal consistency reliability, cut-off points, sensitivity and specificity for the IFS-Ch were estimated. Results: Evidence of content validity was obtained. Evidence of convergent validity was also found showing significant correlations (p<0.05) between the IFS-Ch and the other instruments measuring: executive functions (FAB, r=0.935; categories achieved in the MCST, r=0.791; perseverative errors in the MCST, r= -0.617; animal verbal fluency, r=0.728; A verbal fluency, r=0.681; and P verbal fluency, r=0.783), dysexecutive symptoms in daily living (DEX, r= -0.494), dementia severity (CDR, r= -0.75) and functional status in activities of daily living (T-ADLQ, r= -0.745; IADL, r=0.717). Regarding reliability, a Cronbach's alpha coefficient of 0.905 was obtained. For diagnostic accuracy, a cut-off point of 18 points (sensitivity=0.903; specificity=0.867) and an area under curve of 0.951 were estimated to distinguish between patients with dementia and control subjects. Discussion: The IFS-Ch showed acceptable psychometric properties, supported by evidence of validity and reliability for its use in the measurement of executive functions in patients with dementia. The diagnostic accuracy of the IFS-Ch for detecting dementia patients was also considered acceptable.

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