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The sensitivity to change over time of the Bristol Activities of Daily Living Scale in Alzheimer's disease
Author(s)Lucie M T Byrne, Philippa M A Wilson, Romola S Bucks
Journal titleInternational Journal of Geriatric Psychiatry, vol 15, no 7, July 2000
Pagespp 656-661
KeywordsDementia ; Mobility ; Self care capacity ; Assessment procedures for mental patients ; Reliability ; Bristol.
AnnotationActivities of daily living (ADLs) scales can be useful in assessing change in people with dementia, either as the disease progresses or in response to treatment. However, there is little data on the sensitivity to change of instruments used. The Bristol Activities of Daily Living Scales (BADLS) was developed with assistance from the carers of community dwelling people with dementia, to be completed by such people as had been shown to have internal consistency os well as face and construct validity. In this study, the Clinician's Global Rating of Change (CGRC) was used to assess differences between BADLS scores before and after medication and MMSE, Alzheimer's Disease Assessment Scale - Cognitive (ADAS), and the Nurses Observation Scale for Geriatric Patients (NOSGER) in 61 older adults receiving anticholinesterase medication for AD. Both BADLS and NOSGER change over time are sensitive and specific in predicting improvement or stability as measured by the CGRC. However, unlike NOSGAD, change over time with BADLS significantly correlates with change in the MMSE and the ADAS. The BADLS is sensitive to change in ADLs and shows the expected and desirable relationship with measures of cognition. (RH).
Accession NumberCPA-000823237 A
ClassmarkEA: C4: CA: DA:4C: 5HC: 8AB

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