Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile

P, M. Soledad Herrera; Saldías, Paula; Testa, Natalia

doi:10.4067/s0034-98872014000900006

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…Subjective cognitive difficulties were assessed using the validated Spanish version of PFAQ (43)(44)(45). In the PFAQ, participants rate themselves as having or not having cognitive difficulties in their daily lives on a 4-point scale, in domains of memory, language and communication, sensory perception, motor skills, and higher-level cognitive functions.…”

Section: Pfeffer Activities Of Daily Living Questionnaire (Pfaq)mentioning

confidence: 99%

Characterization of HIV-Associated Neurocognitive Impairment in Middle-Aged and Older Persons With HIV in Lima, Peru

et al. 2021

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Background: With widespread use of antiretroviral medications, people living with HIV (PWH) are living longer worldwide, increasing their risk of developing neurocognitive impairment (NCI). The proportion of Peruvians over age 60 is expected to increase to 25% of the population by 2050, including PWH. Therefore, the problem of aging and NCI, especially in the setting of HIV infection, is uniquely pressing. We sought to study the rates of and risk factors associated with NCI among middle-aged and older PWH in Lima, Peru.Materials and Methods: Sociodemographic, medical (infectious and non-infectious), and psychiatric comorbidity and laboratory data were collected. We administered a brief neuropsychological battery evaluating seven cognitive domains affected in HIV-associated NCI and a depression screening. Cognitive test raw scores were converted to T-scores that were demographically adjusted. Descriptive statistics were performed together with regression (unadjusted and adjusted) analyses to determine potential risk factors for NCI among PWH.Results: This was a cross-sectional study in which 144 PWH aged ≥40 years attending a large HIV clinic in Lima, Peru, were recruited from September 2019 to March 2020. Mean age was 51.6 ± 7.7 years, and mean years of education were 14.0 ± 3.1 with 15% females. Median [interquartile range (IQR)] current CD4 and nadir CD4 were 554 (371, 723) and 179 (83, 291), respectively, and 10% currently had AIDS. The prevalence of NCI was 28.5%, and many demonstrated difficulty with attention and working memory (70%). One-quarter of PWH had mild depression or worse on Patient Health Questionnaire 9 (PHQ-9 ≥ 5). In bivariate analyses, neither a depression history nor a higher PHQ-9 score correlated with NCI. No other non-communicable medical or psychiatric comorbidity nor HIV characteristic was predictive of NCI. Having a positive lifetime history of hepatitis B infection, pulmonary tuberculosis, or syphilis increased risk of NCI (PR 1.72; 95% CI 1.04–2.86) in unadjusted analyses, but not in adjusted analyses.Conclusions: NCI among older Peruvians with HIV was found to be highly prevalent with levels consistent with prior reports of HIV-associated NCI worldwide. Common latent HIV-associated co-infections, including latent syphilis, hepatitis B infection, or pulmonary tuberculosis, may increase the risk of NCI among middle-aged and older PWH in Peru.

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Section: Pfeffer Activities Of Daily Living Questionnaire (Pfaq)mentioning

confidence: 99%

Characterization of HIV-Associated Neurocognitive Impairment in Middle-Aged and Older Persons With HIV in Lima, Peru

et al. 2021

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“…This scale was used because it is appropriate to the study population and has been recommended by the Minister of Health of our country. 20 Measurement of disability: The Functional Activities Questionnaire (FAQ), developed by Pfeffer et al, 21 and subsequently validated in Spanish, 22 was used to evaluate the ability to perform activities of daily living. The FAQ is composed of 10 questions, each rated on a four-point Likert scale that ranges from 0 (normal) to 3 (totally dependent).…”

Section: Methodsmentioning

confidence: 99%

On the Association Between Social Determinants of Health and Disability in Stroke-Free Older Adults Living in Rural Settings. The Three Villages Study

Brutto

Mera

Recalde³

et al. 2020

J Prim Care Community Health

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Background High social risk, as quantified by the social determinants of health (SDH), may lead to disability. This association has not been well explored in remote settings. Using the three Villages Study cohort, we assessed the association between SDH and disability among stroke-free older adults living in a rural Ecuadorian community. Methods SDH were measured by the use of the Gijon Scale and disability by the Functional Activities Questionnaire. All participants had a brain MRI to assess subclinical biomarkers of cerebral small vessel disease. Multivariate models were fitted to assess the association between components of SDH and disability, after adjusting for covariates of interest. Results The mean age of 478 enrolled individuals was 70.1 ± 8 years (59% women). High social risk was observed in 220 (46%) individuals and disability in 222 (46%). There was an almost direct linear relationship between SDH and disability, after taking into account the effect of age. A generalized linear model, adjusted for all included covariates, showed an independent association between social risk and disability ( P < .001). In addition, multivariate models showed that independent SDH components more strongly associated with disability were worse support networks and social relationships. In contrast, the single SDH component not associated with disability was the economic status. Conclusions This study showed a robust association between SDH and disability. Economic needs were surpassed by other components of SDH. This knowledge will help to develop strategies for the control of factors that may be in the path for disability among older adults living in rural settings.

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“…This instrument allows classifying the subjects according to the degree of functionality: self-valent or autonomous, self-valent with risk, and those at risk of dependence. The EFAM includes a clinical and sociodemographic record, anthropometric measurements (e.g., blood pressure, pulse, weight, height, and body mass index, waist circumference, and physical activity), together with a functional assessment [Barthel test 31 , Pfeffer and risk of falls using the unipodal station test 32,33 , and the Timed Up and Go (TUG) 34 ], cognitive assessment [abbreviated Mini-Mental or MMSE-EFAM (MMSE-EFAM) 35,36 ], and mood evaluation [Yesavage depression scale 37 ]. The EFAM 30 consists of two parts.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

Caldichoury

Soto‐Añari

Camargo

et al. 2022

Dement. neuropsychol.

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ABSTRACT. The COVID-19 pandemic has shown the need for neuropsychological care for older adults with memory complaints in different contexts, including rural areas or areas with difficult access. Objective: This study aimed to analyze the clinical utility of the Phototest, through telemedicine, to identify mild cognitive impairment in rural older adults with memory complaints, during the COVID-19 pandemic. Methods: We performed a cross-sectional, case-control, and clinical utility comparison of brief cognitive tests (BCTs). The sample included 111 rural elderly people with mild cognitive impairment (MCI) and 130 healthy controls from the Los Lagos region, Chile. The instruments adopted were modified Mini-Mental State Examination (MMSEm) and adapted version of the Phototest (PT) for Chile. Results: To identify mild cognitive impairment, using a cutoff score of 27-28 points, the Phototest showed a sensitivity of 96.6% and a specificity of 81.8%; indicators superior to those of the MMSEm. Conclusions: The Phototest is more accurate than the MMSEm in identifying cognitive alterations in rural older adults with cognitive memory complaints through telemedicine. Therefore, its use in primary care is recommended in order to perform early detection of preclinical cognitive alterations in mild cognitive impairment or neurodegenerative diseases.

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Validación de un test breve para el diagnóstico de capacidad funcional en adultos mayores en Chile

Cited by 11 publications

References 7 publications

Characterization of HIV-Associated Neurocognitive Impairment in Middle-Aged and Older Persons With HIV in Lima, Peru

Characterization of HIV-Associated Neurocognitive Impairment in Middle-Aged and Older Persons With HIV in Lima, Peru

On the Association Between Social Determinants of Health and Disability in Stroke-Free Older Adults Living in Rural Settings. The Three Villages Study

Clinical utility of Phototest via teleneuropsychology in Chilean rural older adults

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