Validation of the multimodal assessment of capacities in severe dementia: a novel cognitive and functional scale for use in severe dementia

The multimodal assessment of capacities in severe dementia (MAC-SD), a novel cognitive and functional assessment, was developed for use with patients with severe dementia. Its psychometric attributes were examined in a unicenter, open, observational study. The MAC-SD along with the Spanish language...

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Bibliographic Details
Published in:Journal of neurology 2015-05, Vol.262 (5), p.1198-1208
Main Authors: Heller, Sloane, Rebolledo, Carolina Mendoza, Blázquez, Carmen Rodríguez, Chillón, Laura Carrasco, Muñoz, Almudena Pérez, Pérez, Irene Rodríguez, Martínez-Martín, Pablo
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
Alzheimer's disease
Cognition & reasoning
Cognition Disorders - etiology
Dementia
Dementia - complications
Dementia - diagnosis
Dementia - psychology
Epidemiology
Factor Analysis, Statistical
Female
Humans
Male
Medicine
Medicine & Public Health
Mental Status Schedule
Middle Aged
Neurology
Neuropsychological Tests
Neuroradiology
Neurosciences
Nursing homes
Observational studies
Original Communication
Patients
Psychometrics
Quantitative psychology
Reproducibility of Results
Sensitivity and Specificity
Validity
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Summary:The multimodal assessment of capacities in severe dementia (MAC-SD), a novel cognitive and functional assessment, was developed for use with patients with severe dementia. Its psychometric attributes were examined in a unicenter, open, observational study. The MAC-SD along with the Spanish language Severe Mini Mental Exam were administered to 103 patients with a diagnosis of severe dementia. Psychometric analyses were performed to determine acceptability, reliability, validity, and responsiveness. As a whole, the MAC-SD sections showed no floor effects, satisfactory internal consistency, reproducibility, construct validity, precision, and sensitivity to change. The MAC-SD performed as a useful, valid, and potentially responsive tool to measure cognition and functioning in the most advanced stages of dementia.
ISSN:0340-5354
1432-1459
DOI:10.1007/s00415-015-7692-9