The Cognitive Scale of Basic and Instrumental Activities of Daily Living for Multidomain Mild Cognitive Impairment and Dementia Patients: Validation of its Extended Version

Autor: Marisa Arnedo Montoro, Nuria Montoro-Membila, María Jesús Funes, María Rodríguez-Bailón
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Digibug. Repositorio Institucional de la Universidad de Granada
instname
RIUMA. Repositorio Institucional de la Universidad de Málaga
Popis: This research was supported by the Spanish Ministry of Science and Innovation through a PhD research fellowship awarded to the last author (FPI BES-2009-020741), the Regional Government of Andalusia, Spain, through a research project granted to the second and last authors (Junta de Andalucía SEJ-6351) and the Fundación para la Investigación Biosanitaria de Andalucía Oriental – Alejandro Otero, a foundation for biomedical research in Eastern Andalusia, through a scholarship granted to the first author. Funding for open access charge: University of Málaga.
Objective: To validate an informant-based tool – the extended version of the Cognitive Scale of Basic and Instrumental Activities of Daily Living (BADL and IADL) or Ext. Cog-ADL Scale – in a larger sample and with a broader range of cognitive-functional items related to activities of daily living (ADL). Method: The Ext. Cog-ADL Scale was administered to family informants of 42 patients with dementia, 43 patients with multidomain mild cognitive impairment (mdMCI), and 23 healthy control participants. We analyzed the convergent and concurrent validity and external validity of this scale. Results: The Ext. Cog-ADL Scale demonstrated good psychometric properties. Episodic and working memory tests were the main predictors of most cognitive-functional items of the scale. While patients with dementia obtained lower scores in most error categories of the scale, affecting both BADL and IADL, mdMCI patients showed a more specific pattern of difficulties. Apart from the typical alterations in IADL, mdMCI patients also showed difficulties in several error categories related to BADL (i.e., error detection, problem solving, task self-initiation, distraction inhibition, and restore). Conclusions: The Ext. Cog-ADL Scale seems to be an adequate tool to capture the specific pattern of cognitive alterations related to IADL and BADL that differentiates dementia from mdMCI and healthy aging; it shows that mdMCI can involve specific cognitive difficulties that affect even BADL.
Spanish Ministry of Science and Innovation (FPI BES-2009-020741)
Regional Government of Andalusia, Spain (Junta de Andalucía SEJ-6351)
Fundación para la Investigación Biosanitaria de Andalucía Oriental – Alejandro Otero
University of Málaga
Databáze: OpenAIRE