电子临床痴呆评定和财务能力工具简表的开发与实施
Development and implementation of an electronic Clinical Dementia Rating and Financial Capacity Instrument-Short Form.
作者信息
Howell Taylor, Gummadi Shilpa, Bui Chau, Santhakumar Jessica, Knight Kristen, Roberson Erik D, Marson Daniel, Chambless Carol, Gersteneker Adam, Martin Roy, Kennedy Richard, Zhang Yue, Morris John C, Moulder Krista L, Mayo Connie, Carroll Maria, Li Yan, Petersen Ronald C, Stricker Nikki H, Nosheny Rachel L, Mackin Scott, Weiner Michael W
机构信息
San Francisco Department of Radiology and Biomedical Imaging University of California San Francisco California USA.
VA Advanced Imaging Research Center San Francisco Veteran's Administration Medical Center San Francisco California USA.
出版信息
Alzheimers Dement (Amst). 2022 Jul 24;14(1):e12331. doi: 10.1002/dad2.12331. eCollection 2022.
INTRODUCTION
To address the need for remote assessments of cognitive decline and dementia, we developed and administered electronic versions of the Clinical Dementia Rating (CDR®) and the Financial Capacity Instrument-Short Form (FCI-SF) (F-CAP), called the eCDR and eFCI, respectively.
METHODS
The CDR and FCI-SF were adapted for remote, unsupervised, online use based on item response analysis of the standard instruments. Participants completed the eCDR and eFCI first in clinic, and then at home within 2 weeks.
RESULTS
Of the 243 enrolled participants, 179 (73%) cognitively unimpaired (CU), 50 (21%) with mild cognitive impairment (MCI) or dementia, and 14 (6%) with an unknown diagnosis, 84% and 85% of them successfully completed the eCDR and eFCI, respectively, at home.
DISCUSSION
These results show initial feasibility in developing and administering online instruments to remotely assess and monitor cognitive decline along the CU to MCI/very mild dementia continuum. Validation is an important next step.
引言
为满足对认知衰退和痴呆症进行远程评估的需求，我们开发并实施了临床痴呆评定量表（CDR®）和简易财务能力工具（FCI-SF）（F-CAP）的电子版本，分别称为电子CDR和电子FCI。
方法
基于标准工具的项目反应分析，对CDR和FCI-SF进行了调整，以适用于远程、无人监督的在线使用。参与者首先在诊所完成电子CDR和电子FCI，然后在两周内在家中完成。
结果
在243名登记参与者中，179名（73%）认知功能未受损（CU），50名（21%）患有轻度认知障碍（MCI）或痴呆症，14名（6%）诊断不明，其中84%和85%的参与者分别在家中成功完成了电子CDR和电子FCI。
讨论
这些结果表明，开发和实施在线工具以远程评估和监测从CU到MCI/极轻度痴呆连续体的认知衰退具有初步可行性。下一步重要的是进行验证。
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