Predictors of Awareness of Functional Ability in People with Dementia: The Contribution of Personality, Cognition, and Neuropsychiatric Symptoms - Findings from the IDEAL Program
dc.contributor.author | Martyr, A | |
dc.contributor.author | Gamble, LD | |
dc.contributor.author | Nelis, SM | |
dc.contributor.author | Collins, R | |
dc.contributor.author | Alexander, CM | |
dc.contributor.author | Morris, RG | |
dc.contributor.author | Quinn, C | |
dc.contributor.author | Pentecost, C | |
dc.contributor.author | Rusted, JM | |
dc.contributor.author | Victor, C | |
dc.contributor.author | Thom, JM | |
dc.contributor.author | Matthews, FE | |
dc.contributor.author | Clare, L | |
dc.date.accessioned | 2022-10-10T15:40:20Z | |
dc.date.issued | 2022-05-09 | |
dc.date.updated | 2022-10-10T15:11:47Z | |
dc.description.abstract | INTRODUCTION: Discrepancy scores reflecting the difference between parallel ratings made by people living with dementia (PwD) in the mild-to-moderate stages and by their informants provide a way to investigate awareness of functional ability in relation to activities of daily living (ADL). METHODS: Two measures of ADL (Functional Activities Questionnaire; Dependence Scale) were completed by 1,227 PwD and their informants in the IDEAL cohort study baseline assessment. Self-rated and informant-rated scores were used to calculate discrepancies, which were used as an indicator of awareness of functional ability. Smaller discrepancy scores were considered to reflect greater awareness on the part of PwD. PwD completed questionnaires on depression, personality, comorbidities, neuropsychiatric symptoms, and completed a measure of cognition. Informants provided ratings of stress. Univariable and multiple regressions were used to investigate factors related to ADL discrepancy. RESULTS: A similar pattern of associations were found for both ADL discrepancy scores. Smaller discrepancy scores were associated with higher levels of depression, higher neuroticism, fewer neuropsychiatric symptoms, higher comorbidity, lower carer stress, and receipt of less than 1 hour of care per day from the informant. DISCUSSION/CONCLUSION: There was a clear pattern of factors that were associated with greater awareness for both measures of functional ability. These factors associated with smaller discrepancy scores could be used to identify PwD who might benefit from targeted interventions to support their independence. | en_GB |
dc.description.sponsorship | Economic and Social Research Council (ESRC) | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.description.sponsorship | Alzheimer’s Society | en_GB |
dc.format.extent | 221-232 | |
dc.format.medium | Print-Electronic | |
dc.identifier.citation | Vol. 51(3), pp. 221-232 | en_GB |
dc.identifier.doi | https://doi.org/10.1159/000524607 | |
dc.identifier.grantnumber | ES/L001853/2 | en_GB |
dc.identifier.grantnumber | 348, AS-PR2-16-001 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/131186 | |
dc.identifier | ORCID: 0000-0002-1702-8902 (Martyr, Anthony) | |
dc.identifier | ScopusID: 22941748200 (Martyr, Anthony) | |
dc.identifier | ResearcherID: L-3557-2017 (Martyr, Anthony) | |
dc.identifier | ORCID: 0000-0002-0052-9938 (Alexander, Catherine M) | |
dc.identifier | ORCID: 0000-0003-2048-5538 (Pentecost, Claire) | |
dc.identifier | ScopusID: 6508268682 (Pentecost, Claire) | |
dc.identifier | ORCID: 0000-0002-3740-5162 | 0000-0003-3989-5318 (Clare, Linda) | |
dc.language.iso | en | en_GB |
dc.publisher | Karger Publishers | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/35533657 | en_GB |
dc.relation.url | http://reshare.ukdataservice.ac.uk/854293/ | en_GB |
dc.rights | © 2022 The Author(s). Published by S. Karger AG, Basel. Open access. This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher. | en_GB |
dc.subject | Activities of daily living | en_GB |
dc.subject | Alzheimer’s disease | en_GB |
dc.subject | Anosognosia | en_GB |
dc.subject | Discrepancy scores | en_GB |
dc.subject | Insight | en_GB |
dc.subject | Activities of Daily Living | en_GB |
dc.subject | Awareness | en_GB |
dc.subject | Caregivers | en_GB |
dc.subject | Cognition | en_GB |
dc.subject | Cohort Studies | en_GB |
dc.subject | Dementia | en_GB |
dc.subject | Humans | en_GB |
dc.subject | Personality | en_GB |
dc.title | Predictors of Awareness of Functional Ability in People with Dementia: The Contribution of Personality, Cognition, and Neuropsychiatric Symptoms - Findings from the IDEAL Program | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2022-10-10T15:40:20Z | |
dc.identifier.issn | 1420-8008 | |
exeter.place-of-publication | Switzerland | |
dc.description | This is the final version. Available on open access from Karger via the DOI in this record | en_GB |
dc.description | Data Availability Statement: IDEAL data were deposited with the UK Data Archive in April 2020 and will be available to access from April 2023. Details of how the data can be accessed after that date can be found here: http://reshare.ukdataservice.ac.uk/854293/ | en_GB |
dc.identifier.eissn | 1421-9824 | |
dc.identifier.journal | Dementia and Geriatric Cognitive Disorders | en_GB |
dc.relation.ispartof | Dement Geriatr Cogn Disord, 51(3) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2022-04-07 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2022-05-09 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2022-10-10T15:37:02Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2022-10-10T15:40:24Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2022-05-09 |
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Except where otherwise noted, this item's licence is described as © 2022 The Author(s). Published by S. Karger AG, Basel. Open access. This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher.