Development of the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items, a short version of the Dementia Assessment Sheet for Community‐based Integrated Care System 21‐items, for the assessment of cognitive and daily functions

Toyoshima, Kenji; Araki, Atsushi; Tamura, Yoshiaki; Iritani, Osamu; Ogawa, Sumito; Kozaki, Koichi; Ebihara, Satoru; Hanyu, Haruo; Arai, Hiroyuki; Kuzuya, Masafumi; Iijima, Katsuya; Sakurai, Takashi; Suzuki, Takao; Toba, Kenji; Arai, Hidenori; Akishita, Masahiro; Rakugi, Hiromi; Yokote, Koutaro; Ito, Hideki; Awata, Shuichi

doi:10.1111/ggi.13512

Cited by 43 publications

(47 citation statements)

References 22 publications

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“…Sarcopenia can be diagnosed by evaluating muscle strength and muscle mass based on the Asia Working Group for Sarcopenia or the European Working Group on Sarcopenia in Older People 2 guidelines [186,187]. The Dementia Assessment Sheet for Community-based Integrated Care System-8 items (DASC-8) is an eight-item questionnaire based on IADL, BADL, and cognition [188], which has been used for the classification into the following three categories to determine glycemic targets in older Japanese adults with diabetes [5]: category I: intact cognitive function and no impairment of ADL, category II: mild cognitive impairment to mild dementia or impairment(s) of instrumental ADL, category III: moderate or severe dementia or impairment(s) of basic ADL or presence of multiple comorbidities or functional impairments. Because the prevalence rates of frailty and sarcopenia increase with more severe DASC-8 categories, those in DASC-8 categories II (11-16 points) and III (≥17 points) might be candidates for the prescription of a diet to prevent frailty [189].…”

Section: Strategy Shift In Dietary Management From Metabolic Syndromementioning

confidence: 99%

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

et al. 2020

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The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

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Section: Strategy Shift In Dietary Management From Metabolic Syndromementioning

confidence: 99%

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

et al. 2020

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“…In this study, a total score of 11 or higher was considered corresponding to frailty in accordance with previous studies. 23 Cronbach's α for DASC-8 was .9, and the sensitivity and specificity for frailty were 93.4% and 73.4%, respectively. 23…”

Section: Measurement Of Variablesmentioning

confidence: 93%

“…23 Cronbach's α for DASC-8 was .9, and the sensitivity and specificity for frailty were 93.4% and 73.4%, respectively. 23…”

Section: Measurement Of Variablesmentioning

confidence: 93%

“…22 The correlation coefficient between the total score for the negative cognitive rating and the Barthel index, an index of ADL, was −.175 (P < .05). 22 Frailty in the patient was measured using the Dementia Assessment Sheet for Community-Based Integrated Care System 8-items (DASC-8) developed by Toyoshima et al 23 The DASC-8 is a questionnaire comprising 8 questions on cognitive functions or ADL and is evaluated in 4 states, with 1 to 4 points allocated to each response. The total score ranges from 8 to 32, and the higher the score, the lower the cognitive function and ADL.…”

Section: Measurement Of Variablesmentioning

confidence: 99%

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Preparation of the Japanese Version of the Diabetes Caregiver Activity and Support Scale and Verification of Its Reliability and Validity

et al. 2020

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Purpose The purpose of the study was to adapt and psychometrically evaluate a Japanese language version of the Diabetes Caregiver Activity and Support Scale (D-CASS-J) to be culturally relevant for people with diabetes living in Japan. Methods A Japanese translation of the original version of the D-CASS was prepared, corrected, and back-translated. Family caregivers of patients with diabetes mellitus ages ≥65 years who visited the outpatient diabetes clinic of Ise Red Cross Hospital were included. Cronbach’s α coefficients were calculated as an assessment of internal consistency. Exploratory factor analyses were performed to verify construct validity. Hierarchical multiple regression analyses were performed using depression as the dependent variable and D-CASS-J and other variables as explanatory variables. Pearson’s correlation coefficients between D-CASS-J scores and the support burden scale scores were calculated to verify criterion-related validity. Results This analysis included 268 subjects. Cronbach’s α coefficient was .86. Factor analyses showed the same single-factor structure as the original version of the D-CASS. Hierarchical multiple regression analyses based on the conceptual model demonstrated construct validity. D-CASS-J scores were significantly correlated with support burden scale scores. Conclusions For family caregivers of elderly patients with diabetes in Japan, D-CASS-J can be used as a tool to evaluate difficulties experienced while providing support to patients.

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“…The exclusion criteria involved individuals with a history of a diagnosis of alcoholism, severe psychiatric disorders, or malignancies and individuals who were unable to participate in the study of their own volition. The Dementia Assessment Sheet for Community-based [21] was used to define elderly patients with diabetes mellitus requiring support, and the criteria for the total DASC-8 score were set at ≥11 points. The DASC-8 is a questionnaire comprising 8 questions related to cognitive function or ADL rated on a four-point scale, with 1-4 points allocated to each question.…”

Section: Study Design Andmentioning

confidence: 99%

Preparation, Reliability, and Validity of a Japanese Version of the “Satisfaction of Treatment among Caregivers of Dependent Type 2 Diabetic Patients” Questionnaire

Ida

Kaneko

Imataka

et al. 2020

Journal of Diabetes Research

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The aim of this study was to prepare a Japanese version of the “Satisfaction of Treatment among Caregivers of Dependent Type 2 Diabetic Patients” (STCD2-J) questionnaire, which is used to assess the satisfaction of family caregivers with respect to the treatment for elderly patients with type 2 diabetes mellitus who require support. In addition, the reliability and validity of the STCD2-J questionnaire were analyzed. A Japanese version of the original STCD2 questionnaire was prepared, revised, and back-translated; the back-translated version was sent to the authors of the original version for confirmation. Family caregivers of patients with type 2 diabetes mellitus aged ≥65 years who regularly underwent medical examinations at the diabetes mellitus outpatient clinic of Ise Red Cross Hospital were included. Cronbach’s α coefficient was calculated to assess internal consistency. Exploratory factor analyses were performed to assess construct validity, and Pearson’s correlation coefficients between STCD2-J score and HbA1c as well as the degree of satisfaction with patients’ blood glucose levels, depression, and negative self-assessment of nursing care were calculated to assess criterion-related validity. This study included 208 individuals (55 males and 153 females). Cronbach’s α coefficient was 0.88. Factor analyses showed a single-factor structure both with and without rotation. The STCD2-J scores were significantly inversely correlated with HbA1c (r=−0.27, P<0.001). Significant correlations were observed between the STCD2-J scores and degree of satisfaction with patients’ blood glucose levels (r=0.43, P<0.001), depression (r=−0.20, P=0.003), and negative self-assessment of nursing care (r=−0.19, P=0.004). The reliability and validity of the STCD2-J questionnaire were confirmed. The STCD2-J questionnaire can be used in Japan as a tool to assess the satisfaction of family caregivers with the treatment of elderly patients with type 2 diabetes mellitus requiring support.

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Development of the Dementia Assessment Sheet for Community‐based Integrated Care System 8‐items, a short version of the Dementia Assessment Sheet for Community‐based Integrated Care System 21‐items, for the assessment of cognitive and daily functions

Abstract: Both tools had sufficient internal consistency and validity to classify older patients into the categories for determining the glycemic target in this population based on cognitive and daily functions. Geriatr Gerontol Int 2018; 18: 1458-1462.

Cited by 43 publications

References 22 publications

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

Preparation of the Japanese Version of the Diabetes Caregiver Activity and Support Scale and Verification of Its Reliability and Validity

Preparation, Reliability, and Validity of a Japanese Version of the “Satisfaction of Treatment among Caregivers of Dependent Type 2 Diabetic Patients” Questionnaire

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