Association between Daily Activities and Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Older Adults with Memory Complaints by Their Families
Abstract
:1. Introduction
2. Materials and Method
2.1. Study Design
2.2. Ethical Considerations
2.3. Participant
2.4. Method
2.4.1. Procedure
2.4.2. Measurements
Characteristics of Individuals with Memory Complaints
PADA-D
DBD13
OLD
2.4.3. Statistical Analysis
3. Results
3.1. Characteristics of Individuals with Memory Complaints
3.2. PADA-D Total Score and DBD13 Sub-Item Score
3.3. PADA-D 8 IADL Performance and DBD13 Sub-Item Score
3.3.1. Ability to Use the Telephone
3.3.2. Shopping
3.3.3. Cooking
3.3.4. Housekeeping
3.3.5. Use modes of Transportation
3.3.6. Laundry
3.3.7. Managing Finances
3.3.8. Managing Medication
4. Discussions
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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IADL | |
Performance | Process |
Ability to use the telephone | Call others |
Talk on the phone | |
Hang up the phone | |
Notice the phone ring | |
Answer and talk on the phone | |
Shopping | Enter the store |
Go to the section | |
Find a product | |
Pay for the product | |
Take home the product | |
Cooking | Plan a meal |
Prepare the food (wash, cut, and heat the ingredients) | |
Season the ingredients (choose seasoning, etc.) | |
Plate the food | |
Set the table | |
Housekeeping | Clean up after a meal |
Managing daily necessities | |
Management of bedding | |
Clean the house | |
Garbage dumping | |
Use modes of transportation | Take a taxi |
Take a bus or train | |
Ride a bicycle | |
Drive a mobility scooter | |
Choose an appropriate mode of transportation | |
Laundry | Put the laundry in the washing machine |
Start the washing machine | |
Operate the dryer or find another effective means to dry the laundry | |
Take in and fold the laundry | |
Put the clothes in the chest/closet | |
Managing finances | Handle cash |
Use cash on a daily life | |
Understand household expenses | |
Use the bank and the post office | |
Use electronic money | |
Managing medication | Keep the regular time to take medication |
Take out the prescribed medicine | |
Check the correct quantity of medicine | |
Take medicine correctly | |
Keep track of leftover medicine | |
BADL | |
Performance | Process |
Toileting | Get into the restroom |
Sit on the toilet seat | |
Excreting | |
Do post-processing | |
Leave the restroom | |
Feeding | Choose a dish |
Shape the food easy to eat | |
Bring food to the mouth | |
Eating | |
Finish the meal | |
Dressing | Choose clothes |
Take off clothes | |
Put on clothes | |
Put on and take off socks | |
Wear and take off shoes | |
Grooming | Brush teeth |
Wash the face | |
Shave/Put on makeup | |
Dress hair | |
Cut nails | |
Mobility | Get up |
Move around in one room | |
Move between one room and others | |
Go out of the house | |
Go to neighborhood | |
Bathing | Take off clothes |
Pouring hot water over your body | |
Soak in the bath | |
Wash body and hair | |
Dry off hair and body |
Score | Process | Actions That Make up the Process | Check | Remarks | |
---|---|---|---|---|---|
1. Call others | (1) Pick up the phone | YES | NO | ||
(2) Press or touch the call button | YES | NO | |||
(3) Call the number (registered button, etc.) | YES | NO | |||
2. Talk on the phone | (1) Hold the phone on ear | YES | NO | ||
(2) Confirm the conversation partner | YES | NO | |||
(3) Tell the matter | YES | NO | |||
3. Hang up the phone | (1) End the conversation | YES | NO | ||
(2) Hold the phone away from the ear | YES | NO | |||
(3) Press the call end button | YES | NO | |||
4. Notice the phone ring | (1) Find the phone | YES | NO | ||
(2) Confirm who is talking on the phone | YES | NO | |||
(3) Press the call button | YES | NO | |||
5. Answer and talk on the phone | (1) Hold the phone on ear | YES | NO | ||
(2) Ask the purpose on the phone | YES | NO | |||
(3) Have a conversation with each other | YES | NO |
Parameter | Individuals with Memory Complaints (n = 159) |
---|---|
age, mean (SD), year | 84.4 (8.8) |
female | 99 (62.3) |
living with family | 107 (66.0) |
PADA-D IADL total score (SD), max 120 | 55.8 (40.9) |
OLD total score (SD) | 6.5 (4.1) |
DBD13 total score median (25th–75th percentiles) | 14.0 (7.0–21.5) |
DBD13 items appearance rate (sometimes–always) | |
No1. Ask the same question repeatedly | 79.7 |
No2. Loses, misplaces, or hides things | 65.1 |
No3. Lack of interest in daily activities | 58.3 |
No4. Wake up at night for no obvious reason | 27.3 |
No5. Makes unwarranted accusations | 24.5 |
No6. Sleeps excessively during the day | 60.3 |
No7. Paces up and down | 13.1 |
No8. Repeats the same action over and over | 18.4 |
No9. Is verbally abusive, curse | 19.6 |
No10. Dresses inappropriately | 25.9 |
No11. Refuses to be helped with personal care | 24.0 |
No12. Hoards things for no obvious reason | 23.2 |
No13. Empties drawers or closets | 11.6 |
Parameter | B | β | p-Value | 95% CI, Lower | 95% CI, Upper |
---|---|---|---|---|---|
No.3 Lack of interest in daily activities | −7.675 | −0.262 | 0.007 | −13.247 | −2.108 |
No.4 Wake up at night for no obvious reason | −8.763 | −0.277 | 0.003 | −14.562 | −2.964 |
No.5 Makes unwarranted accusations | 7.149 | 0.193 | 0.017 | 1.283 | 13.016 |
Parameter | PADA-D IADL Performance | ||||||||
---|---|---|---|---|---|---|---|---|---|
Ability to use the Telephone | Shopping | Cooking | Housekeeping | Use Modes of Transportation | Laundry | Managing Finances | Managing Medication | ||
DBD13 item | No1. Ask the same question repeatedly | −0.19 (−1.46, −0.17) * | −0.17 (−1.44, −0.05) * | ||||||
No2. Loses, misplaces, or hides things | |||||||||
No3. Lack of interest in daily activities | −0.36 (−1.95, −0.76) ** | −0.25 (−2.13, −0.36) * | −0.31 (−1.86, −0.68) ** | −0.32 (−1.98, −0.66) ** | |||||
No4. Wake up at night for no obvious reason | −0.32 (−1.91, −0.67) ** | −0.19 (−1.99, −0.08) * | −0.29 (−2.39, −0.58) * | −0.29 (−2.01, −0.52) * | −0.38 (−2.84, −1.01) ** | −0.34 (−2.01, −0.78) ** | |||
No5. Makes unwarranted accusations | 0.24 (0.39, 2.47) * | 0.16 (0.07, 1.51) * | |||||||
No6. Sleeps excessively during the day | |||||||||
No7. Paces up and down | |||||||||
No8. Repeats the same action over and over | |||||||||
No9. Is verbally abusive, curse | |||||||||
No10. Dresses inappropriately | −0.20 (−1.76, −0.29) * | −0.20 (−1.83, −0.32) * | −0.28 (−2.49, −0.66) * | ||||||
No11. Refuses to be helped with personal care | 0.20 (0.28, 2.05) * | ||||||||
No12. Hoards things for no obvious reason | 0.19 (0.28, 1.55) * | ||||||||
No13. Empties drawers or closets | |||||||||
age | −0.38 (−0.37, −0.16) ** | −0.21 (−0.27, −0.04) * | −0.17 (−0.20,−0.01) * | −0.17 (−022, −0.01) * | −0.22 (−0.19, −0.05) * | −0.22 (−0.22, −0.04) * | |||
gender | −0.14 (−2.67, −0.17) * | −0.19 (−0.55,−0.03) * | −0.30 (−5.01, −1.58) ** | ||||||
OLD | −0.24 (−0.56,−0.09) * | −0.23 (−0.59, −0.08) * | −0.31 (−0.57, −0.21) ** | ||||||
Adjusted R2 | 0.51 | 0.40 | 0.25 | 0.27 | 0.44 | 0.26 | 0.51 | 0.41 |
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Ikeda, Y.; Han, G.; Maruta, M.; Hotta, M.; Ueno, E.; Tabira, T. Association between Daily Activities and Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Older Adults with Memory Complaints by Their Families. Int. J. Environ. Res. Public Health 2020, 17, 6831. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186831
Ikeda Y, Han G, Maruta M, Hotta M, Ueno E, Tabira T. Association between Daily Activities and Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Older Adults with Memory Complaints by Their Families. International Journal of Environmental Research and Public Health. 2020; 17(18):6831. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186831
Chicago/Turabian StyleIkeda, Yuriko, Gwanghee Han, Michio Maruta, Maki Hotta, Eri Ueno, and Takayuki Tabira. 2020. "Association between Daily Activities and Behavioral and Psychological Symptoms of Dementia in Community-Dwelling Older Adults with Memory Complaints by Their Families" International Journal of Environmental Research and Public Health 17, no. 18: 6831. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17186831