| Autor: |
Diniz, Maissa Ferreira, de Faria Rocha, João Victor, de Souza, Sarah Mendonça Mendes, Lin, Filipe Jin Jen, Costa, Giulia, Bicalho, Maria Aparecida Camargo, Malloy‐Diniz, Leandro F, de Paula, Jonas Jardim, de Mattos Viana, Bernardo |
| Zdroj: |
Alzheimer's & Dementia: The Journal of the Alzheimer's Association; Jun2023 Supplement 1, Vol. 19, p1-2, 2p |
| Abstrakt: |
Background: The functional status decline is an important marker for the diagnosis of Neurocognitive Disorders and it is essential in the differentiation between mild and major cognitive impairment. Thus, instruments that assess cognitive‐functional status decline in Portuguese are important for the care of Brazilian older adults. Method: Development of a cognitive‐functional status assessment questionnaire through six steps: (1) Psychological system definition; (2) Properties and subsystems; (3) Dimensionality; (4) Constructive and Operational Definitions; (5) Operationalization of items; (6) Analysis of the items. The analysis of the items included the performance of a semantic analysis by judges and a pilot group composed of older adults and their informants. Result: The Questionnaire for Assessment of Cognitive Domains and Functionality (QACDF) was developed with 30 items, 5 items per each one of the six DSM5's cognitive domains, in Likert format, and with an informant and patient versions. Each item of the questionnaire was developed to assess a change in a functional status/behavior or cognitive complaint that was most related to a cognitive domain and its subsystem. The general agreement index among the judges ranged from 0.68 to 0.91 (68% to 91%), with an agreement greater than 70% for most domains. The pilot study included 15 older adults with an average age of 79 years (SD = 6.9), average education of 4 years (SD = 4.4), and their respective informants, with an average age of 50.9 years (SD = 11.3), and average schooling of 13.8 years (SD = 4.5). In the pilot study, adjustments were made in some of the items, such as simplifying and reducing instructions, as well as replacing terms that were difficult to understand among participants. Adequate agreement results were obtained for most items in the first analysis performed. The QACDF was reviewed and submitted to a second analysis by judges composed of Brazilian's top references in dementia assessment. Conclusion: The QADCF has semantic characteristics suitable for Brazilian older adults and the adequate agreement among judges suggests a substantial theoretical correlation of the items to cognitive domains and functional status/behavior/cognitive complaint. Studies of its application in clinical scenarios are suggested. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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