Practical clinical tool to monitor dementia symptoms: the HABC-Monitor

Patrick O Monahan,1 Malaz A Boustani,1–3,6 Catherine Alder,2,3,6 James E Galvin,7 Anthony J Perkins,2,3 Patrick Healey,4 Azita Chehresa,5 Polly Shepard,8 Corby Bubp,8 Amie Frame,2,3 Chris Callahan1–3,61Indiana University School of Medicine, 2Indiana University Center for Aging Re...

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Autores principales:	Monahan PO, Boustani MA, Alder C, Galvin JE, Perkins AJ, Healey P, Chehresa A, Shepard P, Bubp C, Frame A, Callahan C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Dementia Symptoms Monitor Validation Cognitive Impairment Memory Care Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/eb5e41b09a35433c8b1a957e6e0e1bb9
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spelling	oai:doaj.org-article:eb5e41b09a35433c8b1a957e6e0e1bb92021-12-02T08:37:09ZPractical clinical tool to monitor dementia symptoms: the HABC-Monitor1178-1998https://doaj.org/article/eb5e41b09a35433c8b1a957e6e0e1bb92012-06-01T00:00:00Zhttps://www.dovepress.com/practical-clinical-tool-to-monitor-dementia-symptoms-the-habc-monitor-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Patrick O Monahan,1 Malaz A Boustani,1–3,6 Catherine Alder,2,3,6 James E Galvin,7 Anthony J Perkins,2,3 Patrick Healey,4 Azita Chehresa,5 Polly Shepard,8 Corby Bubp,8 Amie Frame,2,3 Chris Callahan1–3,61Indiana University School of Medicine, 2Indiana University Center for Aging Research, 3Regenstrief Institute Inc, 4St Vincent’s Health Network, 5Community Health Network, 6Wishard Health Services, Eskenazi Health, Indianapolis IN, 7Alzheimer Disease Center, Departments of Neurology and Psychiatry, New York University School of Medicine, New York, NY, 8Memory Clinic of Indianapolis, Indianapolis, IN, USABackground: Dementia care providers need a clinical assessment tool similar to the blood pressure cuff (sphygmomanometer) used by clinicians and patients for managing hypertension. A “blood pressure cuff” for dementia would be an inexpensive, simple, user-friendly, easily standardized, sensitive to change, and widely available multidomain instrument for providers and informal caregivers to measure severity of dementia symptoms. The purpose of this study was to assess the reliability and validity of the Healthy Aging Brain Care Monitor (HABC-Monitor) for measuring and monitoring the severity of dementia symptoms through caregiver reports.Methods: The first prototype of the HABC-Monitor was developed in collaboration with the Indianapolis Discovery Network for Dementia, which includes 200 members representing 20 disciplines from 20 local organizations, and an expert panel of 22 experts in dementia care and research. The HABC-Monitor has three patient symptom domains (cognitive, functional, behavioral/psychological) and a caregiver quality of life domain. Patients (n = 171) and their informal caregivers (n = 171) were consecutively approached and consented during, or by phone shortly following, a patient’s routine visit to their memory care provider.Results: The HABC-Monitor demonstrated good internal consistency (0.73–0.92); construct validity indicated by correlations with the caregiver-reported Neuropsychiatric Inventory (NPI) total score and NPI caregiver distress score; sensitivity to three-month change compared with NPI “reliable change” groups; and known-groups validity, indicated by significant separation of Mini-Mental Status Examination severity groups and clinical diagnostic groups. Although not designed as a screening study, there was evidence for good operating characteristics, according to area under the receiver-operator curve with respect to gold standard clinical diagnoses, relative to Mini-Mental Status Examination or NPI.Conclusion: The HABC-Monitor demonstrates good reliability and validity as a clinically practical multidimensional tool for monitoring symptoms of dementia through the informal caregiver.Keywords: dementia, symptoms, monitor, validation, cognitive impairment, memory careMonahan POBoustani MAAlder CGalvin JEPerkins AJHealey PChehresa AShepard PBubp CFrame ACallahan CDove Medical PressarticleDementiaSymptomsMonitorValidationCognitive ImpairmentMemory CareGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 143-157 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dementia Symptoms Monitor Validation Cognitive Impairment Memory Care Geriatrics RC952-954.6
spellingShingle	Dementia Symptoms Monitor Validation Cognitive Impairment Memory Care Geriatrics RC952-954.6 Monahan PO Boustani MA Alder C Galvin JE Perkins AJ Healey P Chehresa A Shepard P Bubp C Frame A Callahan C Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
description	Patrick O Monahan,1 Malaz A Boustani,1–3,6 Catherine Alder,2,3,6 James E Galvin,7 Anthony J Perkins,2,3 Patrick Healey,4 Azita Chehresa,5 Polly Shepard,8 Corby Bubp,8 Amie Frame,2,3 Chris Callahan1–3,61Indiana University School of Medicine, 2Indiana University Center for Aging Research, 3Regenstrief Institute Inc, 4St Vincent’s Health Network, 5Community Health Network, 6Wishard Health Services, Eskenazi Health, Indianapolis IN, 7Alzheimer Disease Center, Departments of Neurology and Psychiatry, New York University School of Medicine, New York, NY, 8Memory Clinic of Indianapolis, Indianapolis, IN, USABackground: Dementia care providers need a clinical assessment tool similar to the blood pressure cuff (sphygmomanometer) used by clinicians and patients for managing hypertension. A “blood pressure cuff” for dementia would be an inexpensive, simple, user-friendly, easily standardized, sensitive to change, and widely available multidomain instrument for providers and informal caregivers to measure severity of dementia symptoms. The purpose of this study was to assess the reliability and validity of the Healthy Aging Brain Care Monitor (HABC-Monitor) for measuring and monitoring the severity of dementia symptoms through caregiver reports.Methods: The first prototype of the HABC-Monitor was developed in collaboration with the Indianapolis Discovery Network for Dementia, which includes 200 members representing 20 disciplines from 20 local organizations, and an expert panel of 22 experts in dementia care and research. The HABC-Monitor has three patient symptom domains (cognitive, functional, behavioral/psychological) and a caregiver quality of life domain. Patients (n = 171) and their informal caregivers (n = 171) were consecutively approached and consented during, or by phone shortly following, a patient’s routine visit to their memory care provider.Results: The HABC-Monitor demonstrated good internal consistency (0.73–0.92); construct validity indicated by correlations with the caregiver-reported Neuropsychiatric Inventory (NPI) total score and NPI caregiver distress score; sensitivity to three-month change compared with NPI “reliable change” groups; and known-groups validity, indicated by significant separation of Mini-Mental Status Examination severity groups and clinical diagnostic groups. Although not designed as a screening study, there was evidence for good operating characteristics, according to area under the receiver-operator curve with respect to gold standard clinical diagnoses, relative to Mini-Mental Status Examination or NPI.Conclusion: The HABC-Monitor demonstrates good reliability and validity as a clinically practical multidimensional tool for monitoring symptoms of dementia through the informal caregiver.Keywords: dementia, symptoms, monitor, validation, cognitive impairment, memory care
format	article
author	Monahan PO Boustani MA Alder C Galvin JE Perkins AJ Healey P Chehresa A Shepard P Bubp C Frame A Callahan C
author_facet	Monahan PO Boustani MA Alder C Galvin JE Perkins AJ Healey P Chehresa A Shepard P Bubp C Frame A Callahan C
author_sort	Monahan PO
title	Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
title_short	Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
title_full	Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
title_fullStr	Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
title_full_unstemmed	Practical clinical tool to monitor dementia symptoms: the HABC-Monitor
title_sort	practical clinical tool to monitor dementia symptoms: the habc-monitor
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/eb5e41b09a35433c8b1a957e6e0e1bb9
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Practical clinical tool to monitor dementia symptoms: the HABC-Monitor

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