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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 106 - 112 (7page)
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초록· 키워드
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Background and Purpose Screening tests for dementia such as the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment are widely used, but there are drawbacks to their efficient use. There remains a need for a brief and easy method of assessing the activities of daily living (ADL) that can be administered to elderly individuals by healthcare workers. We have therefore developed a new scale named the Simple Observation Checklist for Activities of Daily Living (SOC-ADL). Methods We developed the SOC-ADL scale as a team of experts engaged in caring for individuals with dementia. This scale comprises eight items and was designed based on the Korean instrumental activities of daily living (K-IADL) scale and the Barthel activities of daily living scale (Barthel Index). The new scale was validated by enrolling 176 patients with cognitive dysfunction across 6 centers. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were performed. We assessed its concurrent validity by performing comparisons with the Korean-MMSE, Clinical Dementia Rating, Clinical Dementia Rating-Sum of Boxes, K-IADL, and Barthel Index, and its criterion validity by performing comparisons between mild cognitive impairment (MCI) and dementia. We also used Cronbach’s alpha to assess the interitem reliability. The appropriate cutoff values were determined by analyzing receiver operating characteristic curves, including the areas underneath them. Results EFA extracted one factor and CFA revealed that all of the model fits exceeded the minimum acceptable criteria. The SOC-ADL scores were strongly correlated with those of the other tools for dementia and could be used to differentiate MCI from dementia. Cronbach’s alpha values indicated that the results were reliable. The optimal cutoff value of the SOC-ADL for discriminating dementia from MCI was 3 points, which provided a sensitivity and specificity of 74.5% and 75.7%, respectively. Conclusions Our results demonstrate that the SOC-ADL is a valid and reliable tool for differentiating dementia from MCI based on an assessment of ADL. This new tool can be used for screening ADL in elderly subjects who have difficulty communicating, and to increase the efficiency of dementia screening at the population level.
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참고문헌 (24)
참고문헌 신청
Lee SJ / 2019 / Effects of a dementia screening program on healthcare utilization in South Korea : a difference-in-difference analysis / Int J Environ Res Public Health 16:3837
최호진 / 2014 / 대단위 치매 검진 사업의 효용성에 대한 고찰 / Dementia and Neurocognitive Disorders(대한치매학회지) 13(4):117~120
Yang PS / 2012 / An evaluation study of a dementia screening program in Taiwan : an application of the theory of planned behaviors / J Gerontol Soc Work 55:626~640
De Roeck EE / 2019 / Brief cognitive screening instruments for early detection of Alzheimer’s disease : a systematic review / Alzheimers Res Ther 11:21
Knopman DS / 2014 / Mild cognitive impairment and mild dementia : a clinical perspective / Mayo Clin Proc 89:1452~1459
최호진 / 2014 / 대단위 치매 검진 사업의 효용성에 대한 고찰 / Dementia and Neurocognitive Disorders(대한치매학회지) 13(4):117~120
Yang PS / 2012 / An evaluation study of a dementia screening program in Taiwan : an application of the theory of planned behaviors / J Gerontol Soc Work 55:626~640
De Roeck EE / 2019 / Brief cognitive screening instruments for early detection of Alzheimer’s disease : a systematic review / Alzheimers Res Ther 11:21
Knopman DS / 2014 / Mild cognitive impairment and mild dementia : a clinical perspective / Mayo Clin Proc 89:1452~1459
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