Functional Disability in Alzheimer Disease A Validation Study of the Brazilian Version of the Disability Assessment for Dementia (DAD-Br)

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dc.contributor.author Bahia, Valeria Santoro
dc.contributor.author Carthery-Goulart, Maria Teresa
dc.contributor.author Novelli, Marcia Maria Pires Camargo [UNIFESP]
dc.contributor.author Kato-Narita, Eliane M.
dc.contributor.author Areza-Fegyveres, Renata
dc.contributor.author Caramelli, Paulo
dc.contributor.author Nitrini, Ricardo
dc.date.accessioned 2016-01-24T14:05:10Z
dc.date.available 2016-01-24T14:05:10Z
dc.date.issued 2010-07-01
dc.identifier http://dx.doi.org/10.1097/WAD.0b013e3181cfc878
dc.identifier.citation Alzheimer Disease & Associated Disorders. Philadelphia: Lippincott Williams & Wilkins, v. 24, n. 3, p. 291-295, 2010.
dc.identifier.issn 0893-0341
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/32699
dc.description.abstract Background: the assessment of activities of daily living (ADL) is important both for the diagnosis and staging of dementia. the objective of this study was to verify the applicability and validity of the Brazilian version of the Disability Assessment for Dementia (DAD-Br).Methods: the DAD was applied to caregivers of 89 patients with probable Alzheimer disease (AD) and to 40 elderly individuals without cognitive impairment (controls). We assessed the construct validity of the scale and its diagnostic accuracy (sensitivity, specificity, and predictive value). in addition, intergroup and intragroup analyses were conducted to characterize patient performance on basic and instrumental ADL and to determine underlying deficits (initiation, planning, or effective execution).Results: AD patients and controls had mean ages of 76.4 +/- 6.9 years and 74.5 +/- 7.3 years (P = 0.08), respectively. Mean Mini-Mental State Examination scores were 17.4 +/- 5.0 and 26.1 +/- 5.1 (P < 0.001) and scores on the DAD were 68.4 +/- 19.0 and 99.8 +/- 0.9 (P < 0.001), for patients and controls, respectively. the DAD scale showed good internal consistency (Cronbach alpha = 0.77) and correlation with the Mini-Mental State Examination (r = 0.44; P < 0.001). the AD group did better on basic ADL than on instrumental ADL (P < 0.001). As expected, controls did not exhibit significant deficits on the items evaluated.Conclusion: the Brazilian version of the DAD is an adequate and reliable tool for assessing functional ability in AD patients. en
dc.format.extent 291-295
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Alzheimer Disease & Associated Disorders
dc.rights Acesso restrito
dc.subject activities of daily living en
dc.subject Alzheimer en
dc.subject dementia en
dc.subject functional disability en
dc.title Functional Disability in Alzheimer Disease A Validation Study of the Brazilian Version of the Disability Assessment for Dementia (DAD-Br) en
dc.type Artigo
dc.contributor.institution Universidade de São Paulo (USP)
dc.contributor.institution Universidade Federal de Minas Gerais (UFMG)
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution MRC
dc.description.affiliation Univ São Paulo, Sch Med, Hosp Clin, Behav & Cognit Neurol Unit,Dept Neurol, BR-05403000 São Paulo, Brazil
dc.description.affiliation Univ Fed Minas Gerais, Fac Med, Dept Internal Med, Behav & Cognit Neurol Unit, Belo Horizonte, MG, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Dept Hlth Sci, Occupat Therapy Course, Santos, SP, Brazil
dc.description.affiliation MRC, Cognit & Brain Sci Unit, Cambridge, England
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Hlth Sci, Occupat Therapy Course, Santos, SP, Brazil
dc.identifier.doi 10.1097/WAD.0b013e3181cfc878
dc.description.source Web of Science
dc.identifier.wos WOS:000281310200012



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