The Relationship Between Performance on the Multi-Focus Assessment Scale and Functional Status

Abstract

This study examined the discriminant validity of the Multi-focus Assessment Scale (MAS). The MAS was administered to three groups of older adults varying in ability to live independently: Extended Care in-patients; Assessment Clinic out-patients; and independently functioning elderly. Analysis of variance showed strong group differences on all of the scales. Discriminant function analysis indicated that the MAS variables predicted group membership with a high degree of accuracy. Replications using random samples indicated the accuracy rates were stable. It was argued that cases of misclassification were largely due to overlap between subgroups of Extended Care and Assessment Clinic patients in terms of their capacity to engage in independent functioning. Also addressed in this study was the identification of variables on the MAS critical to independent functioning. The results indicated that there was a general lowering of functioning rather than specific patterns of preserved strengths or deficits. This was consistent with the presence of a general factor. The need for additional normative data for the MAS was discussed.

Dimensions of Care for Dementia Sufferers in Long-Term Care Institutions: Are They Related to Outcomes?

“…The MAS-R is a revision of the original MAS (Tuokko, Crockett, Holliday, & Coval, 1987) and consists of seven scales (early memory and present orientation measure cognitive function; social behavior skills; auditory capability; visual comprehension; expressive language skills; and accessability). Social behavior skills (0-11 point scale) and expressive language skills (i.e., ability to effectively communicate on the basis of speech, language production, and comprehension assessment; 3-15 point scale) were considered outcomes because they can potentially be affected by quality of care.…”

Neuropsychological Deficits, Caregivers' Perception of Deficits and Caregiver Burden

“…The Mood (MAS‐Mood) subscale is a measure of positive mood, and the Accessibility (MAS‐Accessibility) subscale measures capacity to attend to conversations or instructions. The Multifocus Assessment Scale has been shown to have satisfactory reliability and validity 14 , 15 . High scores on the Multifocus Assessment Scale are indicative of good functioning.…”