Updating the Cognitive Performance Scale

Abstract

This study presents the first update of the Cognitive Performance Scale (CPS) in 20 years. Its goals are 3-fold: extend category options; characterize how the new scale variant tracks with the Mini-Mental State Examination; and present a series of associative findings. Secondary analysis of data from 3733 older adults from 8 countries was completed. Examination of scale dimensions using older and new items was completed using a forward-entry stepwise regression. The revised scale was validated by examining the scale's distribution with a self-reported dementia diagnosis, functional problems, living status, and distress measures. Cognitive Performance Scale 2 extends the measurement metric from a range of 0 to 6 for the original CPS, to 0 to 8. Relating CPS2 to other measures of function, living status, and distress showed that changes in these external measures correspond with increased challenges in cognitive performance. Cognitive Performance Scale 2 enables repeated assessments, sensitive to detect changes particularly in early levels of cognitive decline.

Continuous Deep Sedation Until Death in Nursing Home Residents with Dementia: A Case Series

“…Sociodemographic information was obtained from the administrative file. Based on the Cognitive Performance Scale and the Global Deterioration Scale (as scored by the nurse), residents were classified into three groups according to dementia severity 1 month before death (very severe or advanced dementia, CPS ≥5 and GDS = 7; severe dementia, CPS ≥5 and GDS <7 or CPS <5 and GDS = 7; moderate or mild dementia, CPS <5 and GDS <7). The physician questionnaire asked whether the physician “believed that the individual was (fully, partly, or not) competent for decision on preferred medical treatment at any time during admission” and “during the last week of life.” “Competent” meant that the individual was capable of expressing his or her wishes.…”

Regional variations of care in home care and long-term care: a retrospective cohort study

“…The assessments also have multiple embedded scales such as the Activities of Daily Living Hierarchy Scale, the Instrumental Activities of Daily Living Scale, 11 the Changes in Health, End-Stage Disease, Signs, and Symptoms Scale (CHESS), 12,13 the Depression Rating Scale 14,15 and the Cognitive Performance Scale. 9,16,17 Assessment times are reported as Time 1 (T 1 ) for baseline assessment and Time 2 (T 2 ) for the follow-up assessment. The CHESS score is a measure of health instability and ranges from 0 to 5, with 0 denoting low instability and 5 denoting high instability/disease severity and greater risk of death.…”

Examining Life Goals of Community-Dwelling, Low-Income Older Adults

“…The summary report is the second component of the Vitalize 360 program and draws from the personal assessment to identify potential problems or risks (e.g., cognitive decline, falls, re-hospitalizations, nutritional deficits) as well as options the older adult is interested in pursuing (e.g., fall prevention program, cognitive training, physical activity). The algorithms used to create the resident snapshot results are based on research conducted using specific interRAI items from large national and international data sets (Hirdes et al, 2008; Morris et al, 2016a; Morris et al, 2016b; Morris et al, 2014a; Morris et al, 2014b; Morris, Berg, Fries, Steel, & Howard, 2013). …”