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Contrasting results between caregiver's report and direct assessment of activities of daily living in patients affected by mild and very mild dementia
 — the contribution of the caregiver's personal characteristics
Author(s)Orazio Zanetti, Cristina Geroldi, Giovanni B Frisoni
Journal titleJournal of the American Geriatrics Society, vol 47, no 2, February 1999
Pagespp 196-202
KeywordsDementia ; Self care capacity ; Mobility ; Informal care ; Longitudinal surveys ; Italy.
AnnotationData were obtained from the Italian Mild Dementia Longitudinal Study of 111 consecutive patients affected by dementia. Anamnestic, cognitive, functional and behavioural information was collected from the primary caregiver. Along with sociodemographic characteristics, caregivers' depressive symptoms and burden were also evaluated. Patients underwent a performance-based assessment of the activities of daily living (DAFS) and direct assessment of physical function with the Physical Performance Test (PPT). Caregiver's report and direct observation have been compared for the following ADLs: dressing, toileting, walking, telephone use, shopping, and money use. Discriminant analyses were conducted to examine the degree of agreement between caregiver report functional status and performance-based measures, and whether additional agreement is attributable to caregiver's burden and depressive symptoms. The strength of the association between the caregiver's report and performance based measures of ADLs is high for walking, moderate to good for dressing, but only moderate for telephone, money use shopping. No association was found for toileting. Discrepancies between caregiver report and performance-based assessment were influenced substantially by the burden caused by demands and restrictions on a caregiver's time. (RH).
Accession NumberCPA-001107002 A
ClassmarkEA: CA: C4: P6: 3J: 76V

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