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Dementia

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....

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The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living

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Published on: July 28, 2022

Development and implementation of an electronic Clinical Dementia Rating and Financial Capacity Instrument-Short

Taylor Howell^1,2, Shilpa Gummadi^1,2, Chau Bui^1,2

¹San Francisco Department of Radiology and Biomedical Imaging University of California San Francisco California USA.

Alzheimer'S & Dementia (Amsterdam, Netherlands)

|July 28, 2022

Summary

We developed electronic versions of the Clinical Dementia Rating (CDR) and Financial Capacity Instrument-Short Form (FCI-SF) for remote cognitive decline assessment. These online tools show feasibility for monitoring cognitive health from unimpaired to dementia stages.

Keywords:

Alzheimer's disease Brain Health Registry aging research internet remote online instruments

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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

Area of Science:

Neuroscience
Gerontology
Digital Health

Background:

Remote assessment tools are needed for cognitive decline and dementia.
Standard cognitive assessments require in-person administration.
Digital health solutions offer potential for remote monitoring.

Purpose of the Study:

To develop and administer electronic versions of the Clinical Dementia Rating (CDR) and Financial Capacity Instrument-Short Form (FCI-SF).
To assess the feasibility of remote, unsupervised, online administration of these cognitive instruments.

Main Methods:

Adapted standard CDR and FCI-SF instruments for online use.
Participants completed electronic versions (eCDR and eFCI) in-clinic and remotely at home.
Item response analysis informed the adaptation process.

Main Results:

High completion rates for remote assessments: 84% for eCDR and 85% for eFCI.
Feasibility demonstrated across cognitively unimpaired (CU) and mild cognitive impairment/dementia (MCI) populations.
Successful remote administration within two weeks of in-clinic testing.

Conclusions:

Initial feasibility established for online instruments to remotely assess and monitor cognitive decline.
The eCDR and eFCI can be used along the continuum from CU to MCI/very mild dementia.
Further validation studies are necessary to confirm efficacy.