지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 238 - 245 (8page)
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초록· 키워드
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Objective We aimed to evaluate the psychometric properties of the IADL measure included in the Dementia Care Assessment Packet (DCAP-IADL) in dementia patients.
Methods The study involved 112 dementia patients and 546 controls. The DCAP-IADL was scored in two ways: observed score (OS) and predicted score (PS). The reliability of the DCAP-IADL was evaluated by testing its internal consistency, inter-rater reliability and test-retest reliability. Discriminant validity was evaluated by comparing the mean OS and PS between dementia patients and controls by ANCOVA. Pearson or Spearman correlation analysis was performed with other instruments to assess concurrent validity. Receiver operating characteristics curve analysis was performed to examine diagnostic accuracy.
Results Chronbach's α coefficients of the DCAP-IADL were above 0.7. The values in dementia patients were much higher (OS=0.917, PS=0.927), indicating excellent degrees of internal consistency. Inter-rater reliabilities and test-retest reliabilities were statistically significant (p<0.05). PS exhibited higher reliabilities than OS. The mean OS and PS of dementia patients were significantly higher than those of the non-demented group after controlling for age, sex and education level. The DCAP-IADL was significantly correlated with other IADL instruments and MMSE-KC (p<0.001). Areas under the curves of the DCAP-IADL were above 0.9.
Conclusion The DCAP-IADL is a reliable and valid instrument for evaluating instrumental ability of daily living for the elderly, and may also be useful for screening dementia. Moreover, administering PS may enable the DCAP-IADL to overcome the differences in gender, culture and life style that hinders accurate evaluation of the elderly in previous IADL instruments.
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참고문헌 (23)
참고문헌 신청
American Psychiatric Association / 2000 / Task Force on DSM-IV. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR / American Psychiatric Association
Barberger-Gateau P / 1992 / Instrumental activities of daily living as a screening tool for cognitive impairment and dementia in elderly community dwellers / J Am Geriatr So
Barberger-Gateau P / 1993 / Four Instrumental Activities of Daily Living Score as a predictor of one-year incident dementia / Age Ageing 22 : 457 ~ 463
Barberger-Gateau P / 1999 / Functional impairment in instrumental activities of daily living: an early clinical sign of dementia / J Am Geriatr Soc 47 : 456 ~ 462
Barberger-Gateau P / 2004 / The contribution of dementia to the disablement process and modifying factors / Dement Geriatr Cogn Disord 18 : 330 ~ 337
Barberger-Gateau P / 1992 / Instrumental activities of daily living as a screening tool for cognitive impairment and dementia in elderly community dwellers / J Am Geriatr So
Barberger-Gateau P / 1993 / Four Instrumental Activities of Daily Living Score as a predictor of one-year incident dementia / Age Ageing 22 : 457 ~ 463
Barberger-Gateau P / 1999 / Functional impairment in instrumental activities of daily living: an early clinical sign of dementia / J Am Geriatr Soc 47 : 456 ~ 462
Barberger-Gateau P / 2004 / The contribution of dementia to the disablement process and modifying factors / Dement Geriatr Cogn Disord 18 : 330 ~ 337
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