Kenji Toyoshima1, Atsushi Araki1, Yoshiaki Tamura1, Osamu Iritani2, Sumito Ogawa3, Koichi Kozaki4, Satoru Ebihara5, Haruo Hanyu6, Hiroyuki Arai7, Masafumi Kuzuya8, Katsuya Iijima9, Takashi Sakurai10, Takao Suzuki11, Kenji Toba10, Hidenori Arai10, Masahiro Akishita3, Hiromi Rakugi12, Koutaro Yokote13, Hideki Ito1, Shuichi Awata14. 1. Department of Diabetes, Metabolism and Endocrinology, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan. 2. Department of Geriatric Medicine, Kanazawa Medical University, Ishikawa, Japan. 3. Department of Geriatric Medicine, The University of Tokyo, Tokyo, Japan. 4. Department of Geriatric Medicine, Kyorin University School of Medicine, Tokyo, Japan. 5. Departments of Rehabilitation Medicine, Toho University Graduate School of Medicine, Tokyo, Japan. 6. Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan. 7. Department of Geriatric Medicine and Neuroimaging, Tohoku University Hospital, Miyagi, Japan. 8. Department of Community Healthcare & Geriatrics, Nagoya University Graduate School of Medicine, Aichi, Japan. 9. Institute of Gerontology, The University of Tokyo, Tokyo, Japan. 10. National Center for Geriatrics and Gerontology, Aichi, Japan. 11. Institute of Gerontology, J.F. Oberlin University, Tokyo, Japan. 12. Department of Geriatric and General Medicine, Osaka University Graduate School of Medicine, Osaka, Japan. 13. Department of Medicine, Division of Diabetes, Metabolism and Endocrinology, Chiba University Hospital, Chiba, Japan. 14. Research Team for Promoting Independence of the Elderly, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Abstract
AIM: The present study aimed to: (i) examine the reliability and validity of the Dementia Assessment Sheet for Community-based Integrated Care System 21-items for classifying patients to the appropriate categories for glycemic targets in older patients; and (ii) develop a short version of the tool and examine its reliability and validity. METHODS: A total of 410 older individuals were recruited for this multicenter cross-sectional study. We classified them into three categories used for determining the glycemic target in older patients in Japan based on cognitive functions and activities of daily living. Exploratory factor analyses were used to select the eight items of the shorter version. The reliability and validity of the assessment tools were assessed using Cronbach's alpha coefficients and receiver operating characteristic analyses, respectively. RESULTS: The Dementia Assessment Sheet for Community-based Integrated Care System 21-items had three latent factors: cognitive function, instrumental activities of daily living and basic activities of daily living. The Dementia Assessment Sheet for Community-based Integrated Care System 8-items was developed based on each factor load quantity and was confirmed to have a strong correlation with the original version (r = 0.965, P < 0.001). Both tools significantly discriminated older adults belonging to category I from those belonging to category II or III, and category III from category I or II. CONCLUSIONS: Both tools had sufficient internal consistency and validity to classify older patients into the categories for determining the glycemic target in this population based on cognitive and daily functions. Geriatr Gerontol Int 2018; 18: 1458-1462.
AIM: The present study aimed to: (i) examine the reliability and validity of the Dementia Assessment Sheet for Community-based Integrated Care System 21-items for classifying patients to the appropriate categories for glycemic targets in older patients; and (ii) develop a short version of the tool and examine its reliability and validity. METHODS: A total of 410 older individuals were recruited for this multicenter cross-sectional study. We classified them into three categories used for determining the glycemic target in older patients in Japan based on cognitive functions and activities of daily living. Exploratory factor analyses were used to select the eight items of the shorter version. The reliability and validity of the assessment tools were assessed using Cronbach's alpha coefficients and receiver operating characteristic analyses, respectively. RESULTS: The Dementia Assessment Sheet for Community-based Integrated Care System 21-items had three latent factors: cognitive function, instrumental activities of daily living and basic activities of daily living. The Dementia Assessment Sheet for Community-based Integrated Care System 8-items was developed based on each factor load quantity and was confirmed to have a strong correlation with the original version (r = 0.965, P < 0.001). Both tools significantly discriminated older adults belonging to category I from those belonging to category II or III, and category III from category I or II. CONCLUSIONS: Both tools had sufficient internal consistency and validity to classify older patients into the categories for determining the glycemic target in this population based on cognitive and daily functions. Geriatr Gerontol Int 2018; 18: 1458-1462.