Open AccessDevelopment and implementation of an electronic Clinical Dementia Rating and Financial Capacity Instrument‐Short Form
Author(s) -
Howell Taylor,
Gummadi Shilpa,
Bui Chau,
Santhakumar Jessica,
Knight Kristen,
Roberson Erik D.,
Marson Daniel,
Chambless Carol,
Gersteneker Adam,
Martin Roy,
Kennedy Richard,
Zhang Yue,
Morris John C.,
Moulder Krista L.,
Mayo Connie,
Carroll Maria,
Li Yan,
Petersen Ronald C.,
Stricker Nikki H.,
Nosheny Rachel L.,
Mackin Scott,
Weiner Michael W.
Publication year - 2022
Publication title -
alzheimer's and dementia: diagnosis, assessment and disease monitoring
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.497
H-Index - 37
ISSN - 2352-8729
DOI - 10.1002/dad2.12331
Subject(s) - dementia , clinical dementia rating , cognitive impairment , rating scale , cognition , cognitive decline , psychology , medicine , gerontology , psychiatry , developmental psychology , disease
To address the need for remote assessments of cognitive decline and dementia, we developed and administered electronic versions of the Clinical Dementia Rating (CDR®) and the Financial Capacity Instrument‐Short Form (FCI‐SF) (F‐CAP ® ), called the eCDR and eFCI, respectively. Methods The CDR and FCI‐SF were adapted for remote, unsupervised, online use based on item response analysis of the standard instruments. Participants completed the eCDR and eFCI first in clinic, and then at home within 2 weeks. Results Of the 243 enrolled participants, 179 (73%) cognitively unimpaired (CU), 50 (21%) with mild cognitive impairment (MCI) or dementia, and 14 (6%) with an unknown diagnosis, 84% and 85% of them successfully completed the eCDR and eFCI, respectively, at home. Discussion These results show initial feasibility in developing and administering online instruments to remotely assess and monitor cognitive decline along the CU to MCI/very mild dementia continuum. Validation is an important next step.