Evidence map›Paper›PMID 33258124›Full record

ArticleJournal of the American Geriatrics Society2021

Validation of a Brief Multi-Dimensional Assessment of Dementia Severity.

John D Peipert, Lee A Jennings, Tahmineh Romero, Ron D Hays, Neil S Wenger, Emmett Keeler, David B Reuben

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John D PeipertDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-5762-7881
Lee A JenningsReynolds Section of Geriatrics, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.ORCID 0000-0002-9524-6921
Tahmineh RomeroDivision of General Internal Medicine and Health Services Research, University of California Los Angeles, Los Angeles, California, USA.
Ron D HaysDivision of General Internal Medicine and Health Services Research, University of California Los Angeles, Los Angeles, California, USA.
Neil S WengerDivision of General Internal Medicine and Health Services Research, University of California Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-9884-3967
Emmett KeelerDepartment of Medicine, RAND Health, Santa Monica, California, USA.
David B ReubenDepartment of Medicine, Division of Geriatrics, University of California Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-1363-4745

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MOORE, ALISON AHERN · 2006 to 2017
$9.8M
Caregiver Outcomes of an Alzheimer's and Dementia Care ProgramR21AG054681 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2017 to 2018
$436k
NIA NIH HHS P30 AG028748NIA NIH HHS P30AG028748NIA NIH HHS R21 AG054681NIA NIH HHS R21AG054681
6 · The paper itself

Abstract

BACKGROUND/

objectivesBriefer measures of symptoms and functional limitations may reduce assessment burden and facilitate monitoring populations of persons with dementia (PWD).

designProspective follow-up study.

settingUniversity-based dementia care management program.

participants1,091 PWD. MEASUREMENTS: We assessed cognition (Mini Mental State Examination (MMSE)-11 tasks), neuropsychiatric symptom severity (Neuropsychiatric Inventory Questionnaire Severity Scale (NPIQ-S)-12 items), and functional ability (Activities of Daily Living (ADL)-6 items; Functional Activities Questionnaire (FAQ)-10 items). Item response theory was used to select subsets of items by identifying low item discrimination (<1.50), poor item fit (χ

resultsFive MMSE tasks were eliminated: two with low discrimination, two with difficulty similar to other items, and one with poor fit. The remaining tasks were correlated with the full MMSE at r = 0.82. We retained three ADLs that were correlated with the total ADL set at r = 0.95 and kept five FAQ items that were not LD (correlation with full FAQ, r = 0.97). Associations with mortality were similar between the longer and shorter scales. A higher score on the composite (range 0-100) indicates worse dementia impact and was associated with mortality (hazard ratio (HR) per scale point: 1.03 (1.02-1.04)).

conclusionThese brief assessments and dementia composite may reduce administration time while preserving validity.

Indexed as

Deglutition DisordersDementiaFunctional StatusActivities of Daily LivingAgedAged, 80 and overCognitionFollow-Up StudiesGeriatric AssessmentHumansMaleMental CompetencyMental Status and Dementia TestsNeuropsychological TestsReproducibility of ResultsSeverity of Illness IndexAlzheimer'sbehavioral symptomscognitive assessmentdementia

Identifiers

PMID33258124
PMCPMC8269957

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.