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Validity of Direct Assessment of Functional Status as a tool for measuring Alzheimer's disease severity
Author(s)Orazio Zanetti, Giovanni B Frisoni, Luca Rozzini
Journal titleAge and Ageing, vol 27, no 5, September 1998
Pagespp 615-622
KeywordsDementia ; Mobility ; Self care capacity ; Cognitive processes ; Measurement ; Evaluation ; Italy.
AnnotationThe authors recruited 93 consecutive patients with probable Alzheimer's disease (AD) attending the Alzheimer Unit in Brescia, Italy, December 1994-May 1995. Patients underwent DAFS (Direct Assessment of Functional Status) which measures: orientation; communication abilities; financial skills; shopping skills; road sign identification; dressing/grooming skills; and feeding abilities. Measurements were taken using other scales: sociodemographic variables, cognitive status (Mini-Mental State Examination, MMSE); global disease severity (Clinical Dementia Rating, CDR); disease duration, physical performance (Physical Performance Test, PPT), and functional status (as reported by primary caregiver), and activities of daily living (ADLs). A significant correlation was found between DAFS and MMSE, PPT and CDR. A mild, significant correlation was found between DAFS score and daily function as reported by the primary caregiver. On multiple regression analysis, only MMSE and PPT were independently associated with the DAFS score, explaining 56% of DAFS total variance. ADL scores did not independently contribute to DAFS variance. Findings suggest that DAFS scores provide additional information on dementia severity. (RH).
Accession NumberCPA-981119011 A
ClassmarkEA: C4: CA: DA: 3R: 4C: 76V

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