A multicenter cohort study to investigate the factors associated with functional autonomy change in patients with cognitive complaint or neurocognitive disorders: the MEMORA study protocol

Dauphinot, Virginie; Moutet, Claire; Rouch, Isabelle; Verdurand, Mathieu; Mouchoux, Christelle; Delphin-Combe, Floriane; Gaujard, Sylvain; Krolak‐Salmon, Pierre

doi:10.1186/s12877-019-1204-1

Cited by 11 publications

(8 citation statements)

References 36 publications

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“…The study was conducted in the same context of the MEMORA cohort that aims to study the relationship between patient characteristics and functional autonomy change over time among patients attending a MC [10].…”

Section: Methodsmentioning

confidence: 99%

“…Additionally to the IADL questionnaire, we considered the following patients' characteristics collected using the electronic case report form (eCRF) of the MEMORA study: age, sex, marital status, relationship between the caregiver and the patient education level, cognitive status, etiology, and the Mini-Mental State Examination (MMSE) score ranging from 0 to 30 and evaluating the overall cognitive performance. Details of the collection of the data in the MEMORA study are available elsewhere [10]. These data were collected at different times, i.e., age, sex, marital status, and the relationship between the caregiver and the patient were collected at inclusion of the study (at randomization), while the other data were collected during the face-to-face interview at the MC.…”

Section: Patients and Study Characteristicsmentioning

confidence: 99%

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Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: a randomized, crossover study

et al. 2020

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Background: The functional autonomy assessment is essential to manage patients with a neurodegenerative disease, but its evaluation is not always possible during a consultation. To optimize ambulatory autonomy assessment, we compared the Lawton Instrumental Activities of Daily Living (IADL) questionnaire collected by telephone and face-to-face interviews. Methods: A randomized, crossover study was carried out among patients attending a memory clinic (MC). The IADL questionnaire was collected for patients during telephone and face-to-face interviews between nurses and patients' caregivers. The agreement between the two methods was measured using the proportion of participants giving the same response, Cohen's kappa, intraclass correlation (ICC) coefficient, and Bland and Altman method. The associations between patients' characteristics, events occurring between the two assessments, and agreement were assessed. Results: Among the 292 patients (means ± SD age 81.5 ± 7, MMSE 19.6 ± 6, 39.7% with major neurocognitive disorders) analyzed, the proportion of agreement between the two modes was 89.4% for the total IADL score. Weighted kappa coefficient was 0.66 and ICC score was 0.91 for total IADL score. The mean difference between the IADL score by telephone or face-to-face was 0.32. Overall, 96.9% of measures lay within the 95% limits of agreement. The occurrence of fall was less likely associated with the probability to lie within the 95% limits of agreement (OR = 0.07 [0.02-0.27]). Conclusion: The administration of IADL by telephone with the caregiver appears to be an acceptable method of assessment for MC patients compared to face-to-face interview. The events such as falls which could occur in a time close to the evaluation should be reported.

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Section: Methodsmentioning

confidence: 99%

Section: Patients and Study Characteristicsmentioning

confidence: 99%

Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: a randomized, crossover study

et al. 2020

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Section: Methodsmentioning

confidence: 99%

Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: A randomized, crossover study

Dauphinot

Boublay

Moutet

et al. 2020

Preprint

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Background The functional autonomy assessment is essential to manage patients with a neurodegenerative disease, but its evaluation is not always possible during consultation. To optimize ambulatory autonomy assessment, we compared the Lawton Instrumental Activities of Daily Living (IADL) questionnaire collected by telephone and face-to-face interviews. Methods A randomized, crossover study was carried-out among patients attending a memory clinic (MC). The IADL questionnaire was collected for patients during telephone and face-to-face interviews between nurses and patients’caregivers. The agreement between the two methods was measured using the proportion of participants giving the same response, Cohen’s Kappa, intraclass correlation (ICC) coefficient, and Bland and Altman method. The associations between patient characteristics, events occurring between the two assessments, and agreement were assessed. Results Among the 292 patients (means±SD age 81.5±7, MMSE 19.6±6, 39.7% with major neurocognitive disorders) analyzed, the proportion of agreement between the two modes was 89.4% for the total IADL score. Weighted Kappa coefficent was 0.66 and ICC score was 0.91 for total IADL score. The mean difference between the IADL score by telephone or face-to-face was 0.32. Overall, 96.9% of measures lay within the 95% limits of agreement. The occurrence of fall was less likely associated with the probability to lie within the 95% limits of agreement (OR=0.07[0.02-0.27]). Conclusion The administration of IADL by telephone with the caregiver appears to be an acceptable method of assessment for MC patients compared to face-to-face interview. The events such as falls which could occur in a time close to the evaluation should be reported.

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“…We carried out a randomized, open-label, crossover trial, with two study periods (sequences AB/BA) and four assessment points ( Figure 1). The trial was conducted in the same context of the MEMORA cohort which aims to study the relationship between patient characteristics and functional autonomy change over time among patients attending a MC [6,7].…”

Section: Methodsmentioning

confidence: 99%

Comparison of Instrumental Activities of Daily Living assessment by in-person or phone interviews: A randomized, crossover trial

Dauphinot

Boublay

Moutet

et al. 2019

Preprint

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Background The functional autonomy assessment is essential to manage patients with a neurodegenerative disease, but is therefore not always possible during consultation. To optimize ambulatory autonomy assessment, the Lawton IADL questionnaire assessment between phone and in-person interviews was compared.Methods A randomized, crossover trial was carried-out in patients in memory clinic. The IADL questionnaire was collected for patients during phone and in-person interviews between nurses and patients’caregivers. The agreement between the two methods was measured with the proportion of participants giving the same response, the Cohen’s kappa, the intraclass correlation (ICC) coefficient and Bland and Altman’s method. The associations between patients’characteristics, events occurring between the two measures and agreement were assessed.Results Among the 292 patients with two IADL measures, the agreement rate between the two modes ranged from 75% to 92% depending the IADL items, and from 84% to 97% depending of the level of autonomy. Kappa score was 0.3 for total score and ranged from 0.5 to 0.8 for the analysis by item or level of IADL. ICC score was 0.91 for total IADL score. Overall, 96.9% of measures lied within the 95% limits of agreement. The occurrence of fall was less likely associated with the probability to lie within the 95% limits of agreement (OR=0.07 [0.02-0.27], p<0.0001).Conclusions The administration of IADL by phone with the caregiver appears as an acceptable way of assessment for patients followed by MC compared to in-person interview. The events which could occur in a time close to the evaluation should be reported.

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A multicenter cohort study to investigate the factors associated with functional autonomy change in patients with cognitive complaint or neurocognitive disorders: the MEMORA study protocol

Cited by 11 publications

References 36 publications

Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: a randomized, crossover study

Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: a randomized, crossover study

Comparison of Instrumental Activities of Daily Living assessment by face-to-face or telephone interviews: A randomized, crossover study

Comparison of Instrumental Activities of Daily Living assessment by in-person or phone interviews: A randomized, crossover trial

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