Despite an increasing emphasis on adult day health care (ADHC) programs as alternatives to institutional care for persons with dementia, little research based on direct assessment of clients'cognitive status has been conducted in such settings.
The goal of this analysis was to estimate the prevalence of cognitive impairment among ADHC clients using commonly used screening measures.
Age-adjusted and non-age-adjusted prevalence estimates of cognitive impairment in New York State ADHC programs were developed using a probability sample of 336 clients.
Estimates were made using traditional cutting scores on standard cognitive screening measures, such as the Mini-Mental State Examination (MMSE), as well as latent class analyses applied to the same item sets.
Average prevalence estimates of cognitive impairment were 55% across age cohorts and 60% for persons aged 65 and over.
The MMSE yielded a prevalence estimate of 58% across age cohorts and 63% for those aged 65 and over.
Using a more conservative cut score, the estimate for the MMSE was 33% ; latent class estimates of moderate to severe impairment indicate that approximately 30% of the ADHC clients had cognitive impairment suggestive of probable or definite dementia.
Community alternatives to institutional care for the elderly are increasing in popularity. (...)
Mots-clés Pascal : Hôpital jour, Centre santé, Prévalence, Démence sénile, Epidémiologie, Santé mentale, New York, Etats Unis, Amérique du Nord, Amérique, Trouble cognition, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative
Mots-clés Pascal anglais : Day hospital, Health center, Prevalence, Senile dementia, Epidemiology, Mental health, New York, United States, North America, America, Cognitive disorder, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0282808
Code Inist : 002B17G. Création : 27/11/1998.