Relationship between the Activities of Daily Living Questionnaire and the Montreal Cognitive Assessment

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Abstract

Introduction: The Activities of Daily Living Questionnaire (ADL-Q) is an informant report questionnaire assessing functional impairment in daily living skills. Previous research has demonstrated correlations between ADL-Q and cognitive screening measures among patients with dementia. This study examined the relationship between ADL-Q and the Montreal Cognitive Assessment (MoCA), a brief cognitive screening. Methods: Records of 448 individuals from an outpatient neurology clinic were reviewed. Pearson correlations were calculated between ADL-Q scores and MoCA scores. Linear regression models were fit using demographic information to predict ADL-Q scores. MoCA scores were then added to the models to determine the increase in predictive value of the MoCA. Results: Lower MoCA scores were associated with higher levels of functional impairment. For each model, adding the MoCA significantly improved model fit. Discussion: Low scores on the MoCA, among patient's presenting for memory complaints, should raise concerns about functional decline and prompt for further assessment of functional ability.

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Durant, J., Leger, G. C., Banks, S. J., & Miller, J. B. (2016). Relationship between the Activities of Daily Living Questionnaire and the Montreal Cognitive Assessment. Alzheimer’s and Dementia: Diagnosis, Assessment and Disease Monitoring, 4, 43–46. https://doi.org/10.1016/j.dadm.2016.06.001

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