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Centre for Policy on Ageing | |
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Proxy screening tools improve the recognition of dementia in old-age homes
— results of a validation study | | Author(s) | Leonore Köhler, Siegfried Weyerer, Martina Schäufele |
| Journal title | Age and Ageing, vol 36, no 5, September 2007 |
| Pages | pp 549-554 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Dementia ; Screening ; Care homes ; Nursing homes ; Evaluation ; Germany. |
| Annotation | Despite the high true prevalence of dementia, care home residents' dementia disorders may often be not recognised. There is a need for a standardised tool which includes observations of nursing staff. In this study describing and validating the Dementia Screening Scale (DSS) for use by nursing staff in care homes, all 1922 residents of 20 randomly selected care homes and nursing homes in Mannheim, Germany were rated by nurses using the 7-item proxy dementia rating scale. Based on a subset of 598 residents, the DSS was validated against independent diagnostic assessments made by trained psychologists including the Mini Mental State Examination (MMSE), the Dementia Scale of the Brief Assessment Schedule (BAS DEM), and the Washington University Clinical Dementia Rating (CDR). Using the CDR as a gold standard, the DSS correctly classified at a cut-off of 2/3, 85.5% of the mildly, moderately or severely demented residents. The accuracy of the DSS was only a little worse than that of the MMSE and the BAS DEM. The DSS is well suited for the recognition of dementia in care homes and nursing homes. It is easier to apply, more economic, and associated with a lower rate of non-response. (RH). |
| Accession Number | CPA-080508207 A |
| Classmark | EA: 3V: KW: LHB: 4C: 767 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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