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A predictive model for ADL dependence in community-living older adults based on a reduced set of cognitive status items
Author(s)Thomas M Gill, Christianna S Williams, Emily D Richardson
Journal titleJournal of the American Geriatrics Society, vol 45, no 4, April 1997
Pagespp 441-445
KeywordsMobility ; Self care capacity ; Cognitive processes ; Evaluation ; Living in the community ; United States of America.
AnnotationDependence in one or more of the activities of daily living (ADLs), such as bathing, dressing or walking, is common in many older people, and often results in greater use of home services, frequent hospitalisation and nursing home admission. An important risk factor for ADL dependence is impairment in cognitive status. The aim of this study was to develop and validate a simple tool, based on a reduced set of Mini-Mental State Examination (MMSE) items that can be used to predict the onset of ADSL dependence, and to compare the predictive accuracy of this tool with that of the MMSE. The study population consisted of community-dwelling older people aged 72 and over in New Haven, Connecticut. The study found that orientation and short-term memory were the areas of the MMSE that were most strongly associated with the onset of ADL dependence, and that a simple and valid six-item strategy based on those impairments is as effective as the MMSE in predicting ADL dependence.
Accession NumberCPA-970812252 A
ClassmarkC4: CA: DA: 4C: K4: 7T

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