Impact of dementia on behavioral independence and disturbance

Nakayama, Naoyuki; Endo, Arisa; Nitanda, Yusuke; Tanabe, Nao; Watanabe, Aki; Fukuda, Michinari; Endo, Teruaki

doi:10.1111/ggi.12767

Cited by 10 publications

(7 citation statements)

References 28 publications

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“…Declining BPSD increase caregiver distress. In this study, the DBD score of all informal caregivers was higher than that reported in other studies of dementia patients . If patients had severe BPSD before KCN use and/or worsening BPSD after KCN use, their informal caregivers might continue to use the CHR, and their care managers may be more likely to attend collaborative meetings.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of carer‐held records to support informal caregivers of patients with dementia who live at home

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Usefulness of carer‐held records to support informal caregivers of patients with dementia who live at home

et al. 2018

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“…Therefore, the 150 seconds of the SHAP total item score derived from the linear regression analysis [20] were compared for different component items (). The SHAP Abstract Object Tasks scores for Heavy Power, Light Spherical, and Heavy Spherical were low in a stepwise fashion, whereas those for Light Lateral, Light Tip, and Light Extension were high in a stepwise fashion.…”

Section: Resultsmentioning

confidence: 99%

“…In linear regression, more difficult items shift the line to the left and have a steeper slope, whereas easier items shift the line to the right and have a gentler slope. Moreover, to clarify the difficult items, predicted scores were calculated for each item using the time required to carry out the total item (150 seconds) in the linear regression function [20]. To assess the applicability of linear regression, the determination coefficient ( R 2 ) was used to compare each component item score that was obtained with the predicted values derived from the linear regression analysis.…”

Section: Methodsmentioning

confidence: 99%

Estimation of Motor Impairment and Usage of Upper Extremities during Daily Living Activities in Poststroke Hemiparesis Patients by Observation of Time Required to Accomplish Hand Dexterity Tasks

Tanaka

Hamaguchi

Sakamoto

et al. 2019

BioMed Research International

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Aim This study evaluated whether specific actual performance could accurately predict body function levels and upper limb use in the real-life functioning of poststroke hemiparesis patients to aid in choosing the most appropriate rehabilitation exercises. Methods We measured the time taken for poststroke patients to move small objects with the paralyzed hand and investigated how the measurement could estimate upper extremity motor impairment and hand usage during activities of daily living (ADL). We examined 86 stroke patients (age 66 ± 16 years) whose upper extremity motor paralysis was measured using the Fugl-Meyer assessment (FMA) and Southampton Hand Assessment Procedure (SHAP), and patient-reported ADL was investigated using the Jikei Assessment Scale for Motor Impairment in Daily Living (JASMID). To identify the time required to perform each SHAP item, we employed a linear regression analysis. The prediction formula was used in the linear regression analysis, and the coefficient of determination (R2) was applied to compare each component item score that was obtained with the predicted values derived from the linear regression analysis. Results The most easily accomplished task was Heavy Power in the SHAP. The R2 between the SHAP Heavy Power item score and the FMA scores was moderate (R2 = 0.344, P < 0.0001), whereas the R2 with the JASMID score was low (R2 = 0.126, P < 0.001). Conclusions By measuring the time it takes for poststroke hemiparesis patients to hold and move an object, we developed a prediction formula for upper extremity motor function and hand dexterity.

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“…Executive functions have already been indicated to deteriorate prematurely in people with dementia, even starting from mild cognitive impairment [30] and may be the earliest symptom that accompanies cognitive decline, further affecting the ability to prepare meals and eat [31,32]. In fact, patients in advanced stages of dementia are often institutionalized due to increasing dependence.…”

Section: Discussionmentioning

confidence: 99%

Development and Psychometric Properties of a Friendly Dietary Function Assessment Scale for Home-dwelling People with Dementia

Liu

Wang

Hsiao

et al. 2022

Preprint

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Background Mealtime difficulties related to cognitive functioning exert a negative impact on a patient’s life during the different stages of dementia, and they typically cause burden and stress on family caregivers. The majority of people with dementia live at home alone or are cared by informal caregivers who are typically their spouse or other family members. However, no suitable screening tools for home-dwelling patients with dementia have been developed, nor have measurements been focused on executive functions and self-eating functions. The purposes of this study were to develop and evaluate the psychometric properties of the Dietary Function Assessment Scale (DFAS) for community-dwelling persons with dementia. Methods The instrument development design was adopted to develop and test the psychometrics of the proposed scale. Convenience sampling was used to recruit 190 persons with dementia. The psychometric properties tests included an item analysis, a factor analysis, criterion-related validity testing, internal consistency reliability testing, and defining the optimal cut-off values. Results Items were generated based on an extensive literature review and pre-existing scales related to mealtime and executive functions in persons with dementia. The S-CVI/ave of the DFAS was 0.89. A Principal Component factor analysis demonstrated 7 items, with a two-factor structure accounting for 56.94%% of the total variance. The confirmatory factor analysis indicated a good model fit. The criterion-related validity was adequate (r = -0.528, p < 0.01), and the Cronbach’s alpha internal consistency was .74; the optimal cut-off value of 13 points with an AUC of 0.74 was established to determine poor dietary functioning in persons with dementia Conclusion The DFAS was shown not only to be simple and user-friendly but was also shown to be a valid and reliable instrument to assess dietary functioning in community-dwelling persons with dementia. This short scale is useful to caretakers, who can use it to identify the dietary needs of home-dwelling persons with dementia and improve both their care and eating experience.

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Impact of dementia on behavioral independence and disturbance

Cited by 10 publications

References 28 publications

Usefulness of carer‐held records to support informal caregivers of patients with dementia who live at home

Usefulness of carer‐held records to support informal caregivers of patients with dementia who live at home

Estimation of Motor Impairment and Usage of Upper Extremities during Daily Living Activities in Poststroke Hemiparesis Patients by Observation of Time Required to Accomplish Hand Dexterity Tasks

Development and Psychometric Properties of a Friendly Dietary Function Assessment Scale for Home-dwelling People with Dementia

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