Do Co-Morbidities and Cognition Impact Functional Change and Discharge Needs in Parkinson Disease?

Marciniak, Christina; Choo, C M; Toledo, Santiago D.; Semik, Patrick; Aegesen, Andrea L.

doi:10.1097/phm.0b013e31820b15a2

Cited by 9 publications

(7 citation statements)

References 28 publications

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“…Psychometric properties have not been studied in PD, although PD was included in broad studies of reliability and validity. Responsiveness to change was demonstrated in many conditions, including PD . The FIM is “Recommended with Further Validation in PD Required.”…”

Section: Resultsmentioning

confidence: 99%

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Disability Rating Scales in Parkinson's Disease: Critique and Recommendations

et al. 2016

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Section: Resultsmentioning

confidence: 99%

“…Responsiveness to change was demonstrated in many conditions, including PD. 79,[87][88][89] The FIM is "Recommended with Further Validation in PD Required. "…”

Section: Fimmentioning

confidence: 99%

Disability Rating Scales in Parkinson's Disease: Critique and Recommendations

et al. 2016

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“…Quantitative surveys (Aarsland et al 1999, 2007; Leroi et al 2012 b ; Marciniak et al 2011; Stella et al 2009) and literature reviews (Hanagasi and Emre 2005; Watson and Leverenz 2010) present multifactorial function decline in PDD that influences care-giver burden and health. Both qualitative designs (Chiong-Rivero et al 2011) and quantitative surveys (Goldsworthy and Knowles 2008) demonstrate relationship, sense of stigma and loss.…”

Section: Resultsmentioning

confidence: 99%

“…‘Care-service use’. Level of functional dependence increases progressively as cognitive impairment advances, resulting in instrumental (IADL) and basic ADL dependence among dementia care-givers (Bergvall et al 2011; Germain et al 2009; Marciniak et al 2011; Ornstein et al 2012; Yeager et al 2010; Zucchella et al 2012). Dementia symptoms, such as visuo-spatial deficits, psychosis and fluctuating cognitive abilities, reduce care-recipient's ability to complete IADL/ADL.…”

Section: Resultsmentioning

confidence: 99%

A typology of care-giving across neurodegenerative diseases presenting with dementia

Chappell

2014

Ageing and Society

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The purpose of this study is to develop and extend our understanding of dementia care-giving by introducing a typology of informal care-giving across four different diseases. Care-giving factors were examined with respect to specific dementia presentation in mild cognitive impairment, Alzheimer's disease, dementia with Lewy bodies and Parkinson's disease-associated dementia. Informal care-giving literature in the four diseases was systematically searched to identify specific disease symptoms and resultant care-giving strains and outcomes. Key concepts were extracted and grouped thematically. The first classification, ‘role-shift’, reflects care-giving where cognitive deterioration results in changing roles, uncertainty and relational deprivation among married partners. The second classification, ‘consumed by care-giving’, refers to those caring for persons with dementia-motor decline that greatly increases worry and isolation. Finally, in the ‘service use’ classification, formal support is needed to help care-givers cope with daily responsibilities and behaviour changes. In each case, the dementia presentation uniquely impacts care-giver strains. A major conclusion is that the same support to all care-givers under the umbrella term ‘dementia’ is unwarranted; the development of targeted support is required.

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“…Previous work examining FIM motor task scores reported a mean of 44 in older adults who have had a stroke 23 and a mean of 34 in older adults with Parkinson's disease. 24 The Montreal Cognitive Assessment (MoCA) was used to measure overall cognitive performance. The MoCA is a valid, reliable tool with high sensitivity and specificity for detecting mild cognitive impairment.…”

Section: Study Measuresmentioning

confidence: 99%

The Physical and Cognitive Performance Test for Residents in Assisted Living Facilities

Bowen

Rowe

Ersek

et al. 2017

J American Geriatrics Society

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OBJECTIVE The aim of this study is to develop and evaluate the psychometric properties of a new performance-based instrument (the Physical and Cognitive Performance Test for Assisted Living Facilities; PCPT ALF) designed to assess the physical and cognitive skills associated with the performance of activities of daily living (ADL) and instrumental activities of daily living (IADL). DESIGN There were three stages in this study: development of instrument items and validity testing, a feasibility pilot study and a cross-sectional trial to establish construct and criterion validity and reliability. SETTING One 116-bed ALF. PARTICIPANTS Following a pilot test with 10 residents, a cross-sectional trial was conducted with 55 additional residents. MEASUREMENTS The Barthel Index and the Functional Independence Measure were used to estimate criterion validity. Construct validity was examined using exploratory factor (EFA) analyses. RESULTS Disattenuated correlations between the PCPT ALF and other tools were all above 0.72 supporting criterion validity. Internal consistency (physical ability, α = 0.95; cognitive support, α = 0.92) and one week test-retest reliability (PCPT ALF, p=0.93) were high as was inter-rater reliability (0.99=physical ability; 1.00 =cognitive support). In two EFAs, one each for the physical ability and cognitive support subscales, a one factor solution accounted for 64.1% of the variance and 63.5% of the variance, respectively. CONCLUSION The findings provide early evidence of the PCPT ALF instrument’s score validity and reliability. If confirmed, this study’s findings may be used in future work to assess the success of interventions to prevent or slow decline in the skills associated with ADL/IADL performance in ALFs.

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Do Co-Morbidities and Cognition Impact Functional Change and Discharge Needs in Parkinson Disease?

Cited by 9 publications

References 28 publications

Disability Rating Scales in Parkinson's Disease: Critique and Recommendations

Disability Rating Scales in Parkinson's Disease: Critique and Recommendations

A typology of care-giving across neurodegenerative diseases presenting with dementia

The Physical and Cognitive Performance Test for Residents in Assisted Living Facilities

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