Convergent and concurrent validity of a report- versus performance-based evaluation of everyday functioning in the diagnosis of cognitive disorders in a geriatric population

Cornelis, Elise; Gorus, Ellen; Weverbergh, Karen Van; Beyer, Ingo; Vriendt, Patricia De

doi:10.1017/s1041610218000327

Cited by 6 publications

(9 citation statements)

References 46 publications

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“…This could be debated since report‐based measures are often considered as not being as accurate as performance‐based evaluations because of lacking sound psychometrical properties and possible overestimation and underestimation of functional ability . However, it is shown in previous studies that the b‐, i‐, and a‐ADL tools might compete with performance‐based tools . In addition, a recent meta‐analysis investigating different methods of assessing ADLs indicated that all methods are moderately correlated with EF .…”

Section: Discussionmentioning

confidence: 99%

The relationship between basic, instrumental, and advanced activities of daily living and executive functioning in geriatric patients with neurocognitive disorders

Cornelis

Gorus

Schelvergem

et al. 2019

Int J Geriat Psychiatry

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Objective: Although many studies explored the relationship between executive functions (EF) and activities of daily living (ADLs) in cognitive disorders, previous studies used measurements without well-defined levels of ADLs. This study explored the relationship between EF and the threefold classification of everyday functioning (basic or b-, instrumental or i-, and advanced or a-ADLs) and examined how EF account for the variance in this triad of everyday functioning. Methods:A sample of 44 cognitively healthy persons, 41 persons with mild cognitive impairment, and 35 persons with Alzheimer disease were assessed with comprehensive measures of EF and the b-, i-, and a-ADL tools. Results: Correlations demonstrated that subjects with higher executive dysfunctions have more limitations in b-, i-, and a-ADLs. The highest significant correlations with measures of EF were seen in i-and a-ADLs (ranging from r = −0.193 to r = −0.559, P < 0.05). However, correlations with a-ADLs were not stronger than with i-ADLs. The multivariate analyses revealed Trail Making Test A (TMT-A) as a significant contributor of everyday functioning in b-ADLs, as well as i-and a-ADLs, and Clock Drawing Test (CDT) and Animal Fluency Test (AFT) seemed to contribute significantly to variance in i-and a-ADLs. Conclusions: EF are less related to b-ADLs than i-and a-ADLs and contribute to the same amount of variance to limitations in both i-and a-ADLs. This study recommends using the TMT-A, CDT, and AFT as screening tools to indicate the need for profound evaluation of ADLs in older persons with neurocognitive disorders.

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Section: Discussionmentioning

confidence: 99%

The relationship between basic, instrumental, and advanced activities of daily living and executive functioning in geriatric patients with neurocognitive disorders

Cornelis

Gorus

Schelvergem

et al. 2019

Int J Geriat Psychiatry

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“…Total score ranges from zero to 23 (Vittengl et al, 2006). The Lawton scale showed significantly higher scores for MCI participants compared to mild Alzheimer's disease participants (Cornelis et al, 2018). This questionnaire was also found effective in MCI diagnosis among Italian (Di Carlo et al, 2007) and Brazilian (de Paula et al, 2014) elderly.…”

Section: Instrumentsmentioning

confidence: 92%

Independent Older Adult’s IADL and Executive Function According to Cognitive Performance

Lahav

Katz

2020

OTJR: Occupational Therapy Journal of Research

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Participation in Instrumental Activities of Daily Living (IADL) is essential in occupational therapy aiming to improve the life situation of elderly. Effective executive function (EF) is important to successful functioning in IADL. The purpose of this study was to examine EF and IADL performance differences according to cognitive levels as measured by the Montreal Cognitive Assessment (MoCA), age, and gender. In all, 80 elderly (49% female; age M = 73.4) were assessed at home, with Weekly Calendar Planning Activity (WCPA-10), IADL scale, and MoCA as a cognitive screening tool for dividing into normal cognitive (NC) level and mild cognitive impairment (MCI). The comparison between the MoCA groups on the WCPA-10 and IADL shows significant differences between the groups; gender and age differed only in IADL. IADL and WCPA-10 performance among independent elderly relates to their cognitive level. We suggest that intervention that will focus on EF may assist in improving performance and maintaining participation in occupation.

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“…Informant-based or performance-based measures could be more reliable. However, in a previous study on ADLs in cognitive disorders, it was already showed that both report-based and performance-based measures have similar discriminatory power, but this needs to be further investigated in frailty (Cornelis et al, 2018). However, the study is unique in the sense that we included a large sample size of older individuals aged 80 years and over, the fastest growing population group.…”

Section: Discussionmentioning

confidence: 98%

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Costenoble

Rossi²,

Knoop

et al. 2021

Int. Psychogeriatr.

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Objectives: Understanding of prefrailty’s relationship with limitations in activities of daily living (ADLs) moderated by psychological resilience is needed, as resilience might support ADLs’ maintenance and thus protect against frailty. Therefore, this study aims to analyze the influence of psychological resilience (using the Connor–Davidson Resilience Scale; CD-RISC) on the relation between ADLs and frailty status of older individuals (i.e. prefrail versus robust). Design: Cross-sectional design. Setting: UZ Brussels, Belgium. Participants: Robust (Fried 0/4;n = 214; Age = 82.3 ± 2.1yrs) and prefrail (Fried 1-2/4; n = 191; Age = 83.8 ±3.2yrs) community-dwelling older individuals were included. Measurements: Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total Disability Index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Mediation was investigated by estimating direct and indirect effects of all levels of ADLs and CD-RISC total score on prefrailty/robustness using a stepwise multiple regression approach. Results: Prefrailty/robustness significantly correlated with a-ADL-DI (point-biserial correlation (rpb) = 0.098; p<0.05). Adjusted for age and gender, the a-ADL-DI (p<0.05) had a significant protective direct effect against prefrailty. No effects were found with the CD-RISC total score. Conclusions: Less limitation in a-ADLs is a directly correlated factor of prefrailty and might represent a higher likelihood of robustness.

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Convergent and concurrent validity of a report- versus performance-based evaluation of everyday functioning in the diagnosis of cognitive disorders in a geriatric population

Cited by 6 publications

References 46 publications

The relationship between basic, instrumental, and advanced activities of daily living and executive functioning in geriatric patients with neurocognitive disorders

The relationship between basic, instrumental, and advanced activities of daily living and executive functioning in geriatric patients with neurocognitive disorders

Independent Older Adult’s IADL and Executive Function According to Cognitive Performance

Does psychological resilience mediate the relation between daily functioning and prefrailty status?

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