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Ouchi Y, Kasai M, Nakamura K, et al. Qualitative Assessment of Instrumental Activities of Daily Living in Older Persons with Very Mild Dementia: The Kurihara Project. Dement Geriatr Cogn Dis Extra. 2016;6(2):374-381doi: 10.1159/000446769.
Ouchi, Y., Kasai, M., Nakamura, K., Nakatsuka, M., & Meguro, K. (2016). Qualitative Assessment of Instrumental Activities of Daily Living in Older Persons with Very Mild Dementia: The Kurihara Project. Dementia and geriatric cognitive disorders extra, 6(2), 374-381. https://doi.org/10.1159/000446769
Ouchi, Yoshitaka, et al. "Qualitative Assessment of Instrumental Activities of Daily Living in Older Persons with Very Mild Dementia: The Kurihara Project." Dementia and geriatric cognitive disorders extra vol. 6,2 (2016): 374-381. doi: https://doi.org/10.1159/000446769
Ouchi Y, Kasai M, Nakamura K, Nakatsuka M, Meguro K. Qualitative Assessment of Instrumental Activities of Daily Living in Older Persons with Very Mild Dementia: The Kurihara Project. Dement Geriatr Cogn Dis Extra. 2016 Aug 20;6(2):374-381. doi: 10.1159/000446769. eCollection 2016. PMID: 27703470; PMCID: PMC5040926.
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Dement Geriatr Cogn Dis Extra. 2016 Aug 20;6(2):374-381. doi: 10.1159/000446769. eCollection 2016.

Qualitative Assessment of Instrumental Activities of Daily Living in Older Persons with Very Mild Dementia: The Kurihara Project.

Dementia and geriatric cognitive disorders extra

Yoshitaka Ouchi, Mari Kasai, Kei Nakamura, Masahiro Nakatsuka, Kenichi Meguro

Affiliations

  1. Division of Geriatric Behavioral Neurology, Tohoku University CYRIC, and Department of Geriatric Behavioral Neurology, Tohoku University Graduate School of Medicine, Sendai, Japan.

PMID: 27703470 PMCID: PMC5040926 DOI: 10.1159/000446769

Abstract

BACKGROUND/AIMS: We investigated quantitative/qualitative changes of instrumental activities of daily living (IADL) in people with a Clinical Dementia Rating (CDR) of 0.5.

METHODS: IADLs were evaluated in older residents: CDR of 0 (healthy) and CDR 0.5 (questionable/very mild dementia). The subjects with CDR 0.5 were divided into 2 types: the very mild Alzheimer's disease (vmAD) type and the other type including very mild subcortical vascular dementia. IADLs were evaluated quantitatively using the Lawton and the original qualitative IADL scales.

RESULTS: CDR 0.5/vmAD type subjects had impairment of only one Lawton item (Shopping) compared to CDR 0 subjects. However, the CDR 0.5/vmAD type group and the CDR 0.5/other type group showed impairment of 3 items in the qualitative assessment (Shopping, Food preparation, and Mode of transportation).

CONCLUSION: We suggest using both quantitative/qualitative IADL scales for assessing older adults with very mild dementia.

Keywords: Clinical dementia rating; Community-dwelling elderly; Instrumental activities of daily living; Qualitative assessment; Very mild dementia

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