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Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
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Evaluating Mobility in Advanced Dementia: A Scoping Review and Feasibility Analysis
Karen Van Ooteghem1, Kristin Musselman1,2, David Gold3,4
1Toronto Rehabilitation Institute, University Health Network, Canada.
The Gerontologist
|July 9, 2018
Summary
Mobility decline in dementia is common. Current assessment tools are often not feasible for advanced dementia, necessitating new, dementia-specific measures for better care.
Area of Science:
- Gerontology
- Neurology
- Rehabilitation Science
Background:
- Mobility decline is a significant symptom in advanced dementia, impacting daily function, safety, and quality of life.
- Assessing mobility in people with dementia (PWD) is challenging due to physical, cognitive, and behavioral symptoms.
- Timely mobility monitoring is crucial for interventions to prevent disability in PWD.
Purpose of the Study:
- To identify and describe existing mobility measures used for people with dementia.
- To evaluate the feasibility of these measures for individuals with advanced dementia.
Main Methods:
- Conducted electronic database searches (Medline, Embase, CINAHL, PsychInfo) using keywords related to dementia, mobility, measurement, and validation.
- Extracted descriptive characteristics and coded measures for mobility components.
- Assessed tool feasibility for advanced dementia and screened feasible tools for psychometric strength.
Main Results:
- Included 38 mobility measures; 68% were performance-based.
- Evaluated mobility elements included walking (53%), postural transitions (42%), and standing (40%).
- Only 36% of studies involved people with advanced dementia, and just 18% of tools scored high on feasibility.
Conclusions:
- Current mobility measures offer incomplete insights and few address advanced dementia-specific needs.
- Most existing tools lack feasibility for advanced dementia, with limited psychometric evaluation.
- Further research is required to develop comprehensive, dementia-specific mobility assessment tools.
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