The Erlangen test of activities of daily living in persons with mild dementia or mild cognitive impairment (ETAM) – an extended validation

Bibliographic Details
Title: The Erlangen test of activities of daily living in persons with mild dementia or mild cognitive impairment (ETAM) – an extended validation
Authors: Stephanie Book, Katharina Luttenberger, Mark Stemmler, Sebastian Meyer, Elmar Graessel
Source: BMC Psychiatry, Vol 18, Iss 1, Pp 1-12 (2018)
Publisher Information: BMC, 2018.
Publication Year: 2018
Collection: LCC:Psychiatry
Subject Terms: Activities of daily living, Cognitive impairment, Dementia, Performance test, Validation, Psychiatry, RC435-571
More Details: Abstract Background The ability to perform activities of daily living (ADLs) is a central marker in the diagnosis and progression of the dementia syndrome. ADLs can be identified as basic ADLs (BADLs), which are fairly easy to perform, or instrumental ADLs (IADLs), which involve more complex activities. Presently, the only performance-based assessment of IADL capabilities in persons with cognitive impairment is the Erlangen Test of Activities of Daily Living in Persons with Mild Dementia or Mild Cognitive Impairment (ETAM). The aim of the present study was to revalidate the ETAM in persons with mild cognitive impairment (MCI) or mild dementia and to analyze its application to persons with moderate dementia. Methods We used baseline data from a cluster randomized controlled trial involving a sample of 443 users of 34 day-care centers in Germany. We analyzed groups of persons with MCI, mild dementia, and moderate dementia, categorized on the basis of the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). An item analysis was performed, and new discriminant validities were calculated. We computed a confirmatory factor analysis (CFA) to examine the postulated theoretical model of the ETAM with all six items loading on a single IADL factor. This was the first time that the ETAM’s sensitivity to change was analyzed after a time period of 6 months. Results The overall sample scored on average 17.3 points (SD = 7.2) on the ETAM (range: 0–30 points). Persons with MCI scored on average 23.2 points, persons with mild dementia scored 18.4 points, and persons with moderate dementia scored 12.9 points, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-244X
Relation: http://link.springer.com/article/10.1186/s12888-018-1886-5; https://doaj.org/toc/1471-244X
DOI: 10.1186/s12888-018-1886-5
Access URL: https://doaj.org/article/ddf40be978e049ab967c26f6e55217d8
Accession Number: edsdoj.f40be978e049ab967c26f6e55217d8
Database: Directory of Open Access Journals
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More Details
ISSN:1471244X
DOI:10.1186/s12888-018-1886-5
Published in:BMC Psychiatry
Language:English